ACC/AHA Consensus Sets Tricuspid Program Standards

Multisociety document outlines operator, institutional, and registry requirements as transcatheter tricuspid therapies expand

Category	Detail
Condition	Tricuspid Valve Interventions
Key Mechanisms	Multidisciplinary team-based evaluation and procedural standards for transcatheter tricuspid valve repair and replacement.
Target Population	Patients with tricuspid regurgitation requiring intervention.
Care Setting	Cardiac surgical and interventional cardiology programs.

Multidisciplinary teams are essential for tricuspid valve intervention programs.
Minimum institutional requirements include active cardiac surgical programs and interventional cardiology services.
Procedural standards dictate team composition and operator experience.
Registry participation is crucial for outcomes tracking and postmarket surveillance.
Higher procedural volumes correlate with improved patient outcomes.

Utilize multimodality imaging for assessment of tricuspid regurgitation severity.

Ensure guideline-directed medical and device therapy optimization prior to intervention.

Participate in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.

Monitor for major complications, including mortality and rehospitalization rates.

Patients with symptomatic tricuspid regurgitation.

Transcatheter interventions improve quality of life without significant mortality differences at 1 year.

Maintain a minimum annual volume of tricuspid interventions to ensure program efficacy.
Engage in rigorous data collection for long-term outcomes assessment.
Implement shared decision-making processes within multidisciplinary teams.