Center of Excellence Criteria For Transcatheter Tricuspid Valve Interventions (TTVI )— Key Points (2026)
Center of Excellence Criteria For
Transcatheter Tricuspid Valve Interventions (TTVI )— Key Points (2026)
• New multi-society consensus (ACC/AHA + others)
• Severe TR + symptomatic despite GDMT
• TEER / TTVR → QoL benefit only (no mortality benefit)
• Major challenges:
• Patient selection
• Timing
• Limited long-term data
• Mandatory Heart Team (multidisciplinary)
• Center requirements (high volume):
• Surgery, TAVI, TEER, TEE volumes
• Full structural + EP support
• Operator requirements:
• Structural experience (≥50 cases)
• Device-specific training
• Procedure:
• TEER: ≥2 operators
• TTVR: multidisciplinary (3 operators)
• Program maintenance:
• Ongoing case volume required
• Mandatory registry:
• STS/ACC TVT
• CMS → coverage with evidence
• Outcomes tracked:
• Mortality, HF admission, TR severity, QoL
🎯 Key Message
• TTVI = program, not procedure
🧠 Bottom Line
• Success depends on:
• volume + team + system quality
• Therapy promising but still evolving
Source (Primary):
Multisociety Expert Consensus on TTVI Programs (ACC/AHA/ASE/HRS/STS)
Date:
March 27, 2026
Link (ACC summary):
https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2026/03/24/18/20/New-ECSOCDD-TTVI