{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T09:10:31Z","timestamp":1759741831286},"reference-count":3,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T00:00:00Z","timestamp":1432684800000},"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":[[2016,2,15]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We present our experience with an inflatable, non\u2010metallic, fully retrievable, and repositionable transcatheter aortic valve [Direct Flow\u00ae Medical (DFM)] focusing on technical features adopted during implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Implantation techniques of new generation percutaneous aortic valves are still developing and with experience implementations are described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The \u201clow pressure\u201d (initial valve inflation at 4 ATM, lower than the recommended 12 ATM) and the \u201calternate aortic curve\u201d techniques (initial valve pulling either from the wire running on the side of the inner or from the one on the outer aortic curve) are part of our modified protocol for DFM\u00ae implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two consecutive patients underwent TAVI with DFM. The \u201clow pressure\u201d technique was used in all patients. In 27 (64.3%) patients the bulkiest calcifications were on the inner aortic curve side, and an inner curve technique was used to initiate valve pulling toward the annular hinge point. In the remaining 15 (35.7%) patients, an outer curve technique was used. Neither pull\u2010through nor re\u2010valving was reported. Valve performance showed mean gradient of 8.9 mm Hg. Mild paravalvular leak was reported in seven (16%) patients. No one experienced moderate or severe aortic insufficiency. Thirty\u2010day mortality was 9.5% (4\/42).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The \u201clow pressure technique\u201d and the \u201calternate curve technique\u201d guarantee an anatomy and patient tailored approach to achieve controlled and finely tuned valve seating. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26039","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T14:11:57Z","timestamp":1432735917000},"page":"500-507","source":"Crossref","is-referenced-by-count":5,"title":["Transcatheter, inflatable, and fully repositionable aortic valve: Preliminary results using a modified implantation technique"],"prefix":"10.1002","volume":"87","author":[{"given":"Stephan","family":"Kische","sequence":"first","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"D'Ancona","sequence":"additional","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00fcseyin U.","family":"Agma","sequence":"additional","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"G\u00fcrer","sequence":"additional","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmin","family":"Ortak","sequence":"additional","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albrecht","family":"Els\u00e4sser","sequence":"additional","affiliation":[{"name":"Klinikum Oldenburg, Herz\u2010Kreislauf Zentrum, Klinik f\u00fcr Kardiologie Oldenburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alper","family":"\u00d6ner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00fcseyin","family":"Ince","sequence":"additional","affiliation":[{"name":"Department of Cardiology Vivantes Klinikum im Friedrichshain Und Am Urban Berlin Germany"},{"name":"Department of Cardiology, Rostock University Medical Center Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.09.002"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I3A66"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.10.013"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26039","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T18:06:01Z","timestamp":1696615561000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,27]]},"references-count":3,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,2,15]]}},"alternative-id":["10.1002\/ccd.26039"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26039","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,27]]}}}