{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:20:51Z","timestamp":1785788451558,"version":"3.56.0"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,23]],"date-time":"2018-10-23T00:00:00Z","timestamp":1540252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe a multicenter experience of percutaneous transcatheter pulmonary valve replacement (TPVR) using the Edwards SAPIEN S3 valve without the use of a prior stent (\u201cpre\u2010stenting\u201d).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The SAPIEN S3 and XT valves have durable cobalt\u2013chromium stent frames which may allow for TPVR in large diameter dysfunctional right ventricular outflow tracts (RVOTs) without pre\u2010stenting the landing zone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was performed of all patients with Congenital Heart Disease and dysfunctional RVOT who underwent TPVR using the SAPIEN valve without the use of a pre\u2010stent. Imaging data, procedural elements, and clinical follow\u2010up data were collected to evaluate short and intermediate\u2010term results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010seven patients underwent percutaneous placement of the SAPIEN valve in the pulmonary position without the use of pre\u2010stenting. The anatomical substrate varied: native RVOTs (<jats:italic>n<\/jats:italic> =\u200941), conduits (<jats:italic>n<\/jats:italic> = 10), and bioprosthetic valves (<jats:italic>n<\/jats:italic> = 6). There were no cases in which the valve could not be implanted and no cases of valve embolization or misplacement. On follow\u2010up (range 1 month to 2.2 years, median 5.3 months), no patients had significant obstruction or regurgitation around the valve. There were no frame fractures. There were no procedural deaths. Major complications included severe aortic compression (<jats:italic>n<\/jats:italic> = 1) requiring surgical explantation and tricuspid valve injury requiring surgical intervention (<jats:italic>n<\/jats:italic> = 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This limited multi\u2010institutional experience demonstrates that the SAPIEN valve can be used for TPVR without the use of a pre\u2010stent without medium\u2010term risk of frame fracture, paravalvar leak, or embolization. Longer term follow\u2010up is required to fully assess this method.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27932","type":"journal-article","created":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T00:03:34Z","timestamp":1540339414000},"page":"324-329","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["SAPIEN valve for percutaneous transcatheter pulmonary valve replacement without \u201cpre\u2010stenting\u201d: A multi\u2010institutional experience"],"prefix":"10.1002","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-9334","authenticated-orcid":false,"given":"Gareth J.","family":"Morgan","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Children's Hospital of Colorado  Aurora Colorado"},{"name":"Division of Cardiology University of Colorado  Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soraya","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology UCLA Mattel Children's Hospital  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moris M.","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Kaiser Permanente  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Hospital of Colorado  Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Kay","sequence":"additional","affiliation":[{"name":"Division of Cardiology University of Colorado  Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7092-5784","authenticated-orcid":false,"given":"Abraham","family":"Rothman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Heart Center of Nevada  Las Vegas Nevada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"Galindo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Heart Center of Nevada  Las Vegas Nevada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5092-0978","authenticated-orcid":false,"given":"Mary Hunt","family":"Martin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Primary Children's Hospital  Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8913-0543","authenticated-orcid":false,"given":"Robert","family":"Gray","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Primary Children's Hospital  Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-6374","authenticated-orcid":false,"given":"Michael","family":"Ross","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Hospital of Colorado  Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil A.","family":"Aboulhosn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ahmanson Adult Congenital Heart Disease Center David Geffen School of Medicine at UCLA  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel 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