Additional Study Information: This is a prospective, single-arm, multi-center, early feasibility study. This research study is for patients who have Tricuspid Regurgitation (TR), a condition that occurs when the three leaflets of the heart's tricuspid valve do not close properly causing blood to leak backward with each heartbeat. Since some of the blood leaks backward, the heart has to pump more blood with each beat to push the same amount of blood forward. The goal of this study is to evaluate the safety and performance of the Evoque system with Optimal Medical Therapy (OMT) compared to OMT alone in the treatment of patients with at least severe tricuspid regurgitation (TR). Participants will be evaluated for clinical follow-up at the following intervals: discharge, 30 days, 6 months, 12 months, and annually thereafter for 5 years post-procedure.