{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T22:24:28Z","timestamp":1758061468992,"version":"3.44.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Transcatheter tricuspid valve annuloplasty (TTVA) with the Cardioband system is a safe and effective option for high-risk patients with symptomatic severe tricuspid regurgitation (TR). Hemodynamics play a crucial role in these patients. However, it remains unclear if hemodynamic changes after TTVA are linked to clinical outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Consecutive patients with severe functional TR who underwent TTVA between 2019 and 2022 were retrospectively analyzed. Right heart catheterization was performed before and after cinching to assess hemodynamic parameters, including XV height (difference between the V-wave and the nadir of right atrial pressure). The primary end point was 2-year survival.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Fifty-eight patients with complete hemodynamic assessment were included. All patients presented with torrential (40%), severe (38%), or massive (22%) TR. TR was reduced by \u22652 grades in 83% and by \u22651 grade in 97%. Hemodynamics following TTVA showed significant increases in median cardiac index (2.4\u20132.8 L\/[min\u00b7m\u00b2]), pulmonary artery pulsatility index (1.73\u20132.13), and right ventricle cardiac power index (0.15\u20130.21 W\/m\u00b2). Right atrial pressure (mean\/V-wave) decreased significantly, with the most notable change in XV height (12.5 to 7 mm\u2009Hg;\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001). Lower postprocedural XV height independently predicted 2-year survival (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.002) and was significantly associated with lower TR grade at follow-up (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.002) and right ventricle reverse remodeling (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001). Immediate right ventricle remodeling was also associated with 2-year survival (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.024).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Postprocedural XV height was independently associated with 2-year survival and linked to TR reduction and right ventricle remodeling. TTVA improves hemodynamics even in advanced TR, and hemodynamic markers may support risk stratification.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.125.015702","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T11:15:10Z","timestamp":1756725310000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hemodynamic Effects of Transcatheter Tricuspid Valve Annuloplasty With Cardioband and Their Associations With Clinical Outcomes"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9390-0160","authenticated-orcid":true,"given":"Jan","family":"Althoff","sequence":"first","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Germany (J.A., T.G., K.F., C.H., J.S., J.W., A.F., L.M., S.B., M.I.K., R.P., C.I.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alev","family":"Kalkan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Leverkusen Medical Center, Germany (A.K.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7948-202X","authenticated-orcid":true,"given":"Thorsten","family":"Gietzen","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Germany (J.A., T.G., K.F., C.H., J.S., J.W., A.F., L.M., S.B., M.I.K., R.P., C.I.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4710-8508","authenticated-orcid":true,"given":"Karl","family":"Finke","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Germany (J.A., T.G., K.F., C.H., J.S., J.W., A.F., L.M., S.B., M.I.K., R.P., C.I.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9757-1843","authenticated-orcid":true,"given":"Caroline","family":"Hasse","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Germany (J.A., T.G., K.F., C.H., J.S., J.W., A.F., L.M., S.B., M.I.K., R.P., C.I.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3871-164X","authenticated-orcid":true,"given":"Jennifer","family":"von Stein","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Germany (J.A., T.G., K.F., C.H., J.S., J.W., A.F., L.M., S.B., M.I.K., R.P., C.I.)."},{"name":"Cardiovascular Research Foundation, NY 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