Outcomes of isolated tricuspid replacement versus repair among older patients with tricuspid regurgitation in the United States

Figures

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  Isolated tricuspid repair and replacement were associated with similar midterm mortality.

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  Figure 1. All-cause mortality after propensity score matching Kaplan-Meier analysis of all-cause mortality. Solid lines represent the estimates, and the surrounding bands represent the 95% CIs. aHR, Adjusted/subdistribution hazard ratio; CI, confidence interval.

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  Figure 2. MACE and heart failure hospitalization rate after propensity score matching Kaplan-Meier analysis of (A) MACE and (B) heart failure hospitalization rate. Solid lines represent the estimates, and the surrounding bands represent the 95% CI. aHR, Adjusted/subdistribution hazard ratio; CI, confidence interval; MACE, major adverse cardiovascular events.

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  Figure 3. In Medicare beneficiaries, isolated tricuspid operations were associated with high mortality. Both techniques were associated with comparable early-term mortality. aHR, Adjusted/subdistribution hazard ratio; CI, confidence interval.

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  Figure E1. Study flowchart of included cohort. TR, Tricuspid regurgitation.

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  Figure E2. Annual procedural volumes of isolated tricuspid operations. The number of procedural volumes of isolated tricuspid valve repair and replacement from 2016 to 2020 in Medicare beneficiaries older than the age of 65 years.

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  Figure E3. Standard mean difference of unmatched and matched population. SMD, Standard mean difference; COPD, chronic obstructive pulmonary disease; TIA, transient ischemic attack; ICD, implantable cardioverter-defibrillator; Hx, history.

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  Figure E4. Sensitivity analyses. Sensitivity analyses of early-term mortality on the basis of (1) bioprosthetic valve replacement versus repair, (2) mechanical valve replacement versus repair, and (3) patients without infective endocarditis. HR, Hazard ratio; CI, confidence interval; MACE, major cardiovascular adverse events; IE, infective endocarditis.

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  Figure E5. Subgroup analyses. Subgroup analysis of early-term mortality on the basis of (1) patients aged 65 to younger than 75 years and those aged 75 years or older, (2) patients with and without preoperative device leads, and (3) patients with and without a previous history of cardiac surgery. P-interaction value demonstrates the interaction between subgroups for mortality. HR, Hazard ratio; CI, confidence interval.