{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:54:32Z","timestamp":1788353672710,"version":"build-2803163510"},"reference-count":30,"publisher":"Elsevier BV","issue":"15","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009664","name":"Sociedad Espa\u00f1ola de Cardiolog\u00eda","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009664","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Cardiovascular Interventions"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jcin.2026.04.055","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T19:20:35Z","timestamp":1786389635000},"page":"2062-2075","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["VExUS Score and Hepatorenal Congestion Improvements After Transcatheter Tricuspid Intervention"],"prefix":"10.1016","volume":"19","author":[{"given":"\u00c1lvaro","family":"Rodr\u00edguez-P\u00e9rez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7556-3711","authenticated-orcid":false,"given":"Chi-Hion Pedro","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Forado-Benatar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6064-8683","authenticated-orcid":false,"given":"Joan","family":"Guzman-Bofarull","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Arenas-Loriente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Llu\u00eds","family":"Asmarats-Serra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Moliner-Abos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2011-2136","authenticated-orcid":false,"given":"Juan","family":"Fern\u00e1ndez-Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Vilad\u00e9s-Medel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adri\u00e1n","family":"Ru\u00edz-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Santal\u00f3-Corcoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alba","family":"Maestro-Benedicto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Mendui\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Zegr\u00ed-Reiriz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Mirabet-P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose A.","family":"Parada-Barcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Barreiro-P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0037-3440","authenticated-orcid":false,"given":"Rodrigo","family":"Est\u00e9vez-Loureiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Freixa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Morr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-8953","authenticated-orcid":false,"given":"Laura","family":"Sanchis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Abdul-Jawad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1300-4732","authenticated-orcid":false,"given":"Marta","family":"Sitges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Farrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dabit","family":"Arzamendi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jcin.2026.04.055_bib1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.jacc.2003.09.036","article-title":"Impact of tricuspid regurgitation on long-term survival","volume":"43","author":"Nath","year":"2004","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"10.1016\/j.jcin.2026.04.055_bib2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1093\/eurheartj\/ehy641","article-title":"Tricuspid regurgitation is associated with increased mortality independent of pulmonary pressures and right heart failure: a systematic review and meta-analysis","volume":"40","author":"Wang","year":"2019","journal-title":"Eur Heart J"},{"issue":"7","key":"10.1016\/j.jcin.2026.04.055_bib3","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1093\/eurheartj\/ehab679","article-title":"TRI-SCORE: a new risk score for in-hospital mortality prediction after isolated tricuspid valve surgery","volume":"43","author":"Dreyfus","year":"2022","journal-title":"Eur Heart J"},{"issue":"44","key":"10.1016\/j.jcin.2026.04.055_bib4","doi-asserted-by":"crossref","first-page":"4635","DOI":"10.1093\/eurheartj\/ehaf194","article-title":"2025 ESC\/EACTS Guidelines for the management of valvular heart disease","volume":"46","author":"Praz","year":"2025","journal-title":"Eur Heart J"},{"issue":"3","key":"10.1016\/j.jcin.2026.04.055_bib5","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.jacc.2024.10.068","article-title":"Transcatheter valve repair for tricuspid regurgitation: 1-year results from a large European real-world registry","volume":"85","author":"Wild","year":"2025","journal-title":"J Am Coll Cardiol"},{"issue":"7","key":"10.1016\/j.jcin.2026.04.055_bib6","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.jacc.2024.05.006","article-title":"Real-world 1-year results of tricuspid edge-to-edge repair from the bRIGHT study","volume":"84","author":"Lurz","year":"2024","journal-title":"J Am Coll Cardiol"},{"issue":"20","key":"10.1016\/j.jcin.2026.04.055_bib7","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1056\/NEJMoa2300525","article-title":"Transcatheter repair for patients with tricuspid regurgitation","volume":"388","author":"Sorajja","year":"2023","journal-title":"N Engl J Med"},{"issue":"15","key":"10.1016\/j.jcin.2026.04.055_bib8","doi-asserted-by":"crossref","first-page":"E1264","DOI":"10.4244\/EIJ-D-20-01107","article-title":"Tricuspid valve repair with the Cardioband system: two-year outcomes of the multicentre, prospective TRI-REPAIR study","volume":"16","author":"Nickenig","year":"2021","journal-title":"EuroIntervention"},{"issue":"1","key":"10.1016\/j.jcin.2026.04.055_bib9","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jcin.2023.10.043","article-title":"Bicaval TricValve implantation in patients with severe symptomatic tricuspid regurgitation: 1-year follow-up outcomes","volume":"17","author":"Blasco-Turri\u00f3n","year":"2024","journal-title":"JACC Cardiovasc Interv"},{"issue":"24","key":"10.1016\/j.jcin.2026.04.055_bib10","doi-asserted-by":"crossref","first-page":"2998","DOI":"10.1016\/j.jacc.2019.09.028","article-title":"Transcatheter versus medical treatment of patients with symptomatic severe tricuspid regurgitation","volume":"74","author":"Taramasso","year":"2019","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.jcin.2026.04.055_bib11","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.jacc.2025.07.002","article-title":"10 issues for the clinician in tricuspid regurgitation evaluation and management: 2025 ACC expert consensus decision pathway: a report of the American College of Cardiology solution set oversight committee","volume":"87","author":"O\u2019Gara","year":"2026","journal-title":"J Am Coll Cardiol"},{"issue":"9","key":"10.1016\/j.jcin.2026.04.055_bib12","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1253\/circj.CJ-20-0332","article-title":"Doppler-derived intrarenal venous flow mirrors right-sided heart hemodynamics in patients with cardiovascular disease","volume":"84","author":"Seo","year":"2020","journal-title":"Circ J"},{"issue":"1","key":"10.1016\/j.jcin.2026.04.055_bib13","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.cardfail.2020.06.016","article-title":"Prognostic impact of changes in intrarenal venous flow pattern in patients with heart failure","volume":"27","author":"Yamamoto","year":"2021","journal-title":"J Card Fail"},{"issue":"8","key":"10.1016\/j.jcin.2026.04.055_bib14","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.jchf.2016.03.016","article-title":"Clinical implications of intrarenal hemodynamic evaluation by doppler ultrasonography in heart failure","volume":"4","author":"Iida","year":"2016","journal-title":"JACC Heart Fail"},{"issue":"1","key":"10.1016\/j.jcin.2026.04.055_bib15","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13089-020-00163-w","article-title":"Quantifying systemic congestion with point-of-care ultrasound: development of the venous excess ultrasound grading system","volume":"12","author":"Beaubien-Souligny","year":"2020","journal-title":"Ultrasound J"},{"issue":"Supplement_1","key":"10.1016\/j.jcin.2026.04.055_bib16","doi-asserted-by":"crossref","DOI":"10.1093\/eurheartj\/ehae666.1198","article-title":"VExUS score improvement is associated with better outcomes in acute decompensated heart failure","volume":"45","author":"Saadi","year":"2024","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcin.2026.04.055_bib17","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2022.913580","article-title":"Multimodal strategies for the diagnosis and management of refractory congestion. An integrated cardiorenal approach","volume":"13","author":"Rodr\u00edguez-Espinosa","year":"2022","journal-title":"Front Physiol"},{"issue":"3","key":"10.1016\/j.jcin.2026.04.055_bib18","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.rec.2025.08.002","article-title":"Characterization of hepatic, portal, and renal venous flow patterns by Doppler ultrasound across tricuspid regurgitation grades","volume":"79","author":"Rodr\u00edguez-P\u00e9rez","year":"2026","journal-title":"Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)"},{"issue":"1","key":"10.1016\/j.jcin.2026.04.055_bib19","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1186\/s13054-020-03330-6","article-title":"The use of venous Doppler to predict adverse kidney events in a general ICU cohort","volume":"24","author":"Spiegel","year":"2020","journal-title":"Crit Care"},{"issue":"3","key":"10.1016\/j.jcin.2026.04.055_bib20","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.jcin.2024.10.034","article-title":"Tricuspid regurgitation disease stages and treatment outcomes after transcatheter tricuspid valve repair","volume":"18","author":"Schlotter","year":"2025","journal-title":"JACC Cardiovasc Interv"},{"issue":"43","key":"10.1016\/j.jcin.2026.04.055_bib21","doi-asserted-by":"crossref","first-page":"4508","DOI":"10.1093\/eurheartj\/ehad653","article-title":"Tricuspid valve academic research consortium definitions for tricuspid regurgitation and trial endpoints","volume":"44","author":"Hahn","year":"2023","journal-title":"Eur Heart J"},{"issue":"6","key":"10.1016\/j.jcin.2026.04.055_bib22","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jacc.2017.06.024","article-title":"Frailty in older adults undergoing aortic valve replacement: the FRAILTY-AVR study","volume":"70","author":"Afilalo","year":"2017","journal-title":"J Am Coll Cardiol"},{"issue":"15","key":"10.1016\/j.jcin.2026.04.055_bib23","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1016\/j.jcin.2019.04.018","article-title":"Impact of transcatheter tricuspid valve repair for severe tricuspid regurgitation on kidney and liver function","volume":"12","author":"Karam","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"issue":"25","key":"10.1016\/j.jcin.2026.04.055_bib24","doi-asserted-by":"crossref","first-page":"2446","DOI":"10.1016\/j.jacc.2024.08.044","article-title":"Impact of renal and liver function on clinical outcomes following tricuspid valve transcatheter edge-to-edge repair","volume":"84","author":"Jorde","year":"2024","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.jcin.2026.04.055_bib25","doi-asserted-by":"crossref","first-page":"809","DOI":"10.4244\/EIJ-D-21-00300","article-title":"Thirty-day outcomes of the Cardioband tricuspid system for patients with symptomatic functional tricuspid regurgitation: the TriBAND study","volume":"17","author":"Nickenig","year":"2021","journal-title":"EuroIntervention"},{"issue":"10","key":"10.1016\/j.jcin.2026.04.055_bib26","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1002\/ejhf.1752","article-title":"Nutritional status in tricuspid regurgitation: implications of transcatheter repair","volume":"22","author":"Besler","year":"2020","journal-title":"Eur J Heart Fail"},{"issue":"6","key":"10.1016\/j.jcin.2026.04.055_bib27","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1536\/ihj.21-273","article-title":"Prevalence, characteristics, and impact of frailty in patients with functional tricuspid regurgitation","volume":"62","author":"Saji","year":"2021","journal-title":"Int Heart J"},{"issue":"10","key":"10.1016\/j.jcin.2026.04.055_bib28","first-page":"673","article-title":"Intrarenal venous Doppler as a novel marker for optimal decongestion, patient management, and prognosis in acute decompensated heart failure","volume":"12","author":"Turrini","year":"2023","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"9","key":"10.1016\/j.jcin.2026.04.055_bib29","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1016\/j.jchf.2017.05.006","article-title":"Intrarenal flow alterations during transition from euvolemia to intravascular volume expansion in heart failure patients","volume":"5","author":"Nijst","year":"2017","journal-title":"JACC Heart Fail"},{"issue":"1","key":"10.1016\/j.jcin.2026.04.055_bib30","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.cardfail.2020.09.003","article-title":"The effect of decongestion on intrarenal venous flow patterns in patients with acute heart failure","volume":"27","author":"Ter Maaten","year":"2021","journal-title":"J Card Fail"}],"container-title":["JACC: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879826018510?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879826018510?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T19:20:49Z","timestamp":1786389649000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1936879826018510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":30,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1936879826018510"],"URL":"https:\/\/doi.org\/10.1016\/j.jcin.2026.04.055","relation":{},"ISSN":["1936-8798"],"issn-type":[{"value":"1936-8798","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"VExUS Score and Hepatorenal Congestion Improvements After Transcatheter Tricuspid Intervention","name":"articletitle","label":"Article Title"},{"value":"JACC: Cardiovascular Interventions","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcin.2026.04.055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}