Key result
Ring and band annuloplasty for functional tricuspid regurgitation yielded better outcomes than suture annuloplasty, with lower reoperation rates during follow-up (1.3% for bands vs 6.85% for sutures).
Why the study?
The optimal and most durable annuloplasty modality for repairing functional tricuspid regurgitation remains unclear.
Does ring or band annuloplasty improve outcomes and reduce recurrence compared to suture annuloplasty in patients with functional tricuspid regurgitation undergoing left-sided valve surgery?
Cohort (n=200)
Does ring or band annuloplasty improve outcomes and reduce recurrence compared to suture annuloplasty in patients with functional tricuspid regurgitation undergoing left-sided valve surgery?
Absolute Event Rate: 1.3% vs 6.85%
Ring and band annuloplasty provide better early and late durability with lower recurrence of tricuspid regurgitation compared to suture annuloplasty.
Band annuloplasty was associated with lower TR recurrence; hypothesis-generating for superiority over suture annuloplasty pending RCTs.
BACKGROUND: In this study, we evaluate different annuloplasty modalities to repair functional tricuspid regurgitation. PATIENTS AND METHODS: Between January 2011 and January 2017, 200 patients with moderate or greater functional tricuspid regurgitation received tricuspid valve repair as part of primary surgeries on the left side of their cardiac valves. Of these, 39 patients received rings (Group A), 84 patients received bands (Group B), and 77 patients received suture annuloplasty (Group C). RESULTS: Two patients from Group C were operated on again, during the primary hospital stay due to severe symptomatic tricuspid regurgitation. The degrees of early postoperative tricuspid regurgitation - mean vena contracta and mean jet area - significantly were higher in Group C. During a mean follow-up period of 26 ± 12.6 months, 5 patients within Group C (6.85%) and one patient in Group B (1.3%) were operated on again with tricuspid valve replacement due to severe symptomatic tricuspid incompetence. Also during follow up, mean degrees of tricuspid regurgitation, mean vena contracta, and mean jet areas significantly were higher in Group C. CONCLUSION: Patients who received rings followed by band annuloplasty had better early and late results with lower recurrence rates than those who received suture annuloplasty.
No takes yet. Share an insight, caveat, or question.
Adas et al. (2019) conducted a cohort in Functional tricuspid regurgitation (n=200). Ring or band annuloplasty vs. Suture annuloplasty was evaluated on Reoperation with tricuspid valve replacement due to severe symptomatic tricuspid incompetence. Ring and band annuloplasty for functional tricuspid regurgitation yielded better outcomes than suture annuloplasty, with lower reoperation rates during follow-up (1.3% for bands vs 6.85% for sutures).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: