Randomized trial of tricuspid flexible band versus rigid ring in patients with moderate tricuspid regurgitation or greater: results of the JPH2019 trial.
J Thorac Cardiovasc SurgMay 4, 2026 (epub)
Xiufan Xu, Jiaxi Gu, Hong Liu et al.
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In 30 seconds
This randomized controlled trial compared the efficacy of flexible band versus rigid ring annuloplasty in 321 patients with moderate or greater tricuspid regurgitation (TR). At discharge, recurrent TR was significantly higher in the flexible band group (10.1% vs 3.8%, P = .03), but this difference was not significant during follow-up (6.1%/patient-years vs 4.7%/patient-years, P = .21).
Key findings
- Recurrent TR at discharge was 10.1% in the flexible band group compared to 3.8% in the rigid ring group (P = .03).
- During follow-up, recurrent TR rates were 6.1%/patient-years for flexible band and 4.7%/patient-years for rigid ring (P = .21).
- Independent risk factors for recurrent TR included female sex, preoperative severe TR, and preoperative permanent pacemaker implantation.
Why it matters
Understanding the comparative effectiveness of different annuloplasty techniques is crucial for optimizing surgical outcomes in patients with tricuspid regurgitation, a condition that can significantly impact heart function and patient quality of life.