{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:48:12Z","timestamp":1762980492277,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"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":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transcatheter, bilateral branch pulmonary artery (PA) valve implantation is a novel treatment for patients with severe pulmonary insufficiency and oversized right ventricle (RV) outflow tract. There is scarce data on efficacy and safety of this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of 8 patients with repaired tetralogy of fallot (TOF) who underwent bilateral branch PA valve implantation. Demographics, echocardiography, cardiac catheterization, and axial imaging data were reviewed. Variables were compared by a paired sample <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were adult sized (weight 43\u201399 kg) with oversized RV outflow tract not suitable for conventional transcatheter pulmonary valve implantation. Staged bare metal PA stenting followed by valve implantation (interval 3\u20135 months) was technically successful in 7 patients with one stent embolization. In another patient, proximal stent migration prevented placement of bilateral pulmonary valve stents. There were a total of 14 valved branch PA stents placed (Melody valve <jats:italic>n<\/jats:italic>\u2009=\u20099, Sapien XT <jats:italic>n<\/jats:italic>\u2009=\u20092, Sapien 3 <jats:italic>n<\/jats:italic>\u2009=\u20093). In the 7 patients undergoing successful branch pulmonary valve placement, at median follow up of 10 months (range 3 months to 6 years), 13 (93%) valves had none\/trivial insufficiency on echocardiography. Prevalve and postvalve implantation cardiac magnetic resonance imaging in five patients showed significant reduction of indexed RV end\u2010diastolic volume (152\u2009\u00b1\u200927 to 105\u2009\u00b1\u200915 mL\/m<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transcatheter, bilateral branch PA valve implantation was technically feasible with satisfactory efficacy and safety in patients with repaired TOF, severe pulmonary insufficiency, and oversized RV outflow tracts. Elimination of pulmonary insufficiency with this method resulted in reduced RV end\u2010diastolic volume. This approach can be offered as an alternative to surgery, particularly in patients considered high risk for standard surgical placement and who are not candidates for the newer self\u2010expanding valve prosthesis for placement in RV outflow tracts larger than 30 mm diameter.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27489","type":"journal-article","created":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T16:33:42Z","timestamp":1516638822000},"page":"911-919","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral branch pulmonary artery valve implantation in repaired tetralogy of fallot"],"prefix":"10.1002","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7026-3058","authenticated-orcid":false,"given":"Neha","family":"Bansal","sequence":"first","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Michigan, Carmen and Ann Adams Department of Pediatrics Wayne State University School of Medicine Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-0309","authenticated-orcid":false,"given":"Daisuke","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Michigan, Carmen and Ann Adams Department of Pediatrics Wayne State University School of Medicine Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Forbes","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Michigan, Carmen and Ann Adams Department of Pediatrics Wayne State University School of Medicine Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Wayne State University Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Zerin","sequence":"additional","affiliation":[{"name":"Department of Radiology Children's Hospital of Michigan Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aparna","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Radiology Children's Hospital of Michigan Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel R.","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Michigan, Carmen and Ann Adams Department of Pediatrics Wayne State University School of Medicine Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20735"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37504-X"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.201.1.8816534"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.2.231"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80116-0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.9.250"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02714-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1532-429X-13-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.013588"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.09.055"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.114.001225"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26263"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.959502"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.962373"},{"key":"e_1_2_8_16_1","first-page":"E69","article-title":"A concert in the heart: bilateral Melody valve implantation in the branch pulmonary arteries","volume":"25","author":"Maschietto N","year":"2013","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.2.438"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21742"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951108002424"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.03.088"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25128"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.09.753"},{"key":"e_1_2_8_23_1","unstructured":"CheathamJP.The Medtronic Harmony\u2122 Transcatheter Pulmonary Valve Clinical Study. 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