{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T09:45:11Z","timestamp":1767260711546},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Review mid\u2010term follow\u2010up of percutaneous intervention for post ablation total pulmonary vein occlusion (PVO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Feasibility of percutaneous intervention for PVO has been described, but information remains limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with total PVO were retrospectively identified from our catheterization database. Medical records, catheterization reports, and outpatient follow\u2010up were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between April 2005 and February 2012, 16 patients were identified with a total of 18 PVOs. Symptoms included hemoptysis in 6\/16 (46%), cough in 8\/16 (50%), chest pain in 8\/16 (50%), dyspnea in 13\/16 (81%) with mean NYHA Class of 2.6\u2009\u00b1\u20090.6. Recanalization was accomplished in 14\/18 (78%) veins: 11 treated with balloon dilation and 3 with stents. Median follow\u2010up for 13\/14 veins was 13 (0\u201339) months (one patient with one PVO is awaiting follow\u2010up). Reocclusion occurred in 7\/13 (54%) at mean follow\u2010up of 3.6\u2009\u00b1\u20091.6 months (6\/10 post\u2010balloon dilation and 1\/3 post\u2010stenting). Despite reocclusion, the reference vessel diameter increased from 4.8\u2009\u00b1\u20092.4 to 8.5\u2009\u00b1\u20094.2 mm (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) between the first and second catheterization. Re\u2010recanalization and stent placement was accomplished in 5\/6 (83%), with one reocclusion not attempted. At latest follow\u2010up 9\/13 (69%) recanalized vessels remained patent and percent flow to affected lung quadrant increased from 7.4\u2009\u00b1\u20093.4% pre\u2010intervention to 14.3\u2009\u00b1\u20094.2% (<jats:italic>P<\/jats:italic>\u2009=\u20090.004). Mean NYHA Class improved to 1.4\u2009\u00b1\u20090.4 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Recanalization of total PVO can be accomplished with reasonable mid\u2010term patency, improved symptoms, and lung perfusion. Reocclusion is common, but vessel growth is often observed allowing placement of a reasonably sized stent at a second intervention. Staged intervention is often necessary to maintain patency. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24886","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T04:26:58Z","timestamp":1361507218000},"page":"585-591","source":"Crossref","is-referenced-by-count":10,"title":["Percutaneous recanalization of totally occluded pulmonary veins after pulmonary vein isolation\u2014intermediate\u2010term follow\u2010up"],"prefix":"10.1002","volume":"82","author":[{"given":"James","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Cleveland Clinic Children's Hospital Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athar M.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Cleveland Clinic Children's Hospital Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Worley","sequence":"additional","affiliation":[{"name":"Quantitative Health Sciences Cleveland Clinic Foundation Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes R.","family":"Prieto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Cleveland Clinic Children's Hospital Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.03.003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2011.11.2491"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.856633"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2029"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.859116"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01181.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.07.025"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2005.50073.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01316.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01110.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2010.01763.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carpath.2006.07.007"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.24886","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.24886","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T08:18:23Z","timestamp":1696580303000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.24886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,27]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1002\/ccd.24886"],"URL":"https:\/\/doi.org\/10.1002\/ccd.24886","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,27]]}}}