{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:40:53Z","timestamp":1792179653546,"version":"4.4.0"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"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":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The Edwards SAPIEN valve and its delivery system may complicate transit through the right heart during transcatheter pulmonary valve replacement (tPVR). We report our early experience using a large diameter, 65\u2009cm delivery sheath to facilitate delivery of the SAPIEN valve to the right ventricular outflow tract (RVOT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of all patients from three large congenital heart centers undergoing tPVR with the Edwards SAPIEN valve delivered with the 65\u2009cm Gore Dryseal Sheath.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over a 12\u2009month period, 30 patients (17 female) with median age 17.5\u2009years (range 8\u201372) underwent attempted tPVR with the SAPIEN valve delivered using the 65\u2009cm Dryseal sheath (20\u201326Fr). All procedures resulted in successful valve delivery to the target area. Twenty patients had a native RVOT. The most commonly used valve diameter was 29\u2009mm (<jats:italic>n<\/jats:italic> = 15) with the majority of cases requiring a 26Fr Dryseal sheath (<jats:italic>n<\/jats:italic> = 20). One patient with severe RVOT stenosis underwent prestenting. Median procedure time was 100\u2009min (59\u2013225). No patient had increase in tricuspid valve regurgitation as a consequence of valve delivery. One patient required a synchronous cardioversion for intraprocedural VT and another required ECMO postprocedure due to severe pre\u2010existing left ventricular dysfunction. On median follow\u2010up of 5 months, all patients had mild or less pulmonary regurgitation. Median peak Doppler velocity across the pulmonary valve was 2.2 m\/s (1.7\u20134). There were no clinically relevant complications relating to vascular access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Using 65\u2009cm Dryseal sheaths facilitates delivery of SAPIEN valves in patients with dysfunctional RVOTs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28409","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T14:44:31Z","timestamp":1565707471000},"page":"409-413","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Use of 65 cm large caliber Dryseal sheaths to facilitate delivery of the Edwards SAPIEN valve to dysfunctional right ventricular outflow tracts"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4279-6102","authenticated-orcid":false,"given":"Damien","family":"Kenny","sequence":"first","affiliation":[{"name":"Department of Paediatric Cardiology and Cardiac Surgery Our Lady's Children's Hospital  Dublin Ireland"},{"name":"National Adult Congenital Heart Service Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-9334","authenticated-orcid":false,"given":"Gareth J.","family":"Morgan","sequence":"additional","affiliation":[{"name":"The Heart Institute Children's Hospital of Colorado  Denver CO"},{"name":"Department of Adult Congenital Cardiology University of Colorado Hospital  Denver CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Murphy","sequence":"additional","affiliation":[{"name":"National Adult Congenital Heart Service Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"AlAlwi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Cardiac Surgery Our Lady's Children's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Giugno","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology &amp; Adult Congenital Heart Disease IRCCS\u2010Policlinico San Donato  San Donato Milanese Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-8551","authenticated-orcid":false,"given":"Jenny","family":"Zablah","sequence":"additional","affiliation":[{"name":"The Heart Institute Children's Hospital of Colorado  Denver CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Carminati","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology &amp; Adult Congenital Heart Disease IRCCS\u2010Policlinico San Donato  San Donato Milanese Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Cardiac Surgery Our Lady's Children's Hospital  Dublin Ireland"},{"name":"National Adult Congenital Heart Service Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25544"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.05.034"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.006494"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27932"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27527"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27973"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.05.013"},{"key":"e_1_2_8_9_1","first-page":"1920","article-title":"Tricuspid regurgitation complicating SAPIEN 3 valve implantation in pulmonary position","volume":"11","author":"Butera G","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.06.001"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I11A231"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.28409","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28409","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28409","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T10:02:09Z","timestamp":1693994529000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,13]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1002\/ccd.28409"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28409","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,13]]},"assertion":[{"value":"2019-01-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}