{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:37:27Z","timestamp":1768455447281,"version":"3.49.0"},"reference-count":6,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T00:00:00Z","timestamp":1588896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["Z01\u2010HL006040"],"award-info":[{"award-number":["Z01\u2010HL006040"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We report the first pledget\u2010assisted suture tricuspid annuloplasty (PASTA) in a patient with torrential tricuspid regurgitation (TR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Tricuspid valve regurgitation is a common malignant disease with no commercially available transcatheter therapy. PASTA is a \u201cpercutaneous surgical\u201d procedure using pledgeted sutures to create a double\u2010orifice tricuspid valve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An 83\u2010year\u2010old man had end\u2010stage TR caused by a defibrillator lead. He consented to undergo PASTA on a compassionate basis. A double\u2010orifice valve was created with pledgeted sutures from percutaneous right ventricular apical access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>TR was reduced from torrential to trace. The vena contracta reduced to from 23 to 1\u2009mm and annular area reduced from 1817 to 782\u2009mm<jats:sup>2<\/jats:sup>. However, the annulus dehisced and required closure with a percutaneous nitinol plug. The patient was discharged home and was alive 6 months later but with persistent symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The anatomy of a double\u2010orifice valve can eliminate TR but a better solution is required to avoid excessive suture tension on annular tissue.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28955","type":"journal-article","created":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T00:14:37Z","timestamp":1588983277000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["<scp>First\u2010in\u2010human<\/scp> transcatheter <scp>pledget\u2010assisted<\/scp> suture tricuspid annuloplasty for severe tricuspid insufficiency"],"prefix":"10.1002","volume":"97","author":[{"given":"Adam B.","family":"Greenbaum","sequence":"first","affiliation":[{"name":"Divisions of Cardiology and Cardiac Surgery, Structural Heart and Valve Center Emory University Hospital  Atlanta Georgia USA"},{"name":"Henry Ford Health System  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6099-0753","authenticated-orcid":false,"given":"Jaffar M.","family":"Khan","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute National Institutes of Health  Bethesda Maryland USA"},{"name":"Medstar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Rogers","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute National Institutes of Health  Bethesda Maryland USA"},{"name":"Medstar Washington Hospital Center  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilis C.","family":"Babaliaros","sequence":"additional","affiliation":[{"name":"Divisions of Cardiology and Cardiac Surgery, Structural Heart and Valve Center Emory University Hospital  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0334-6504","authenticated-orcid":false,"given":"Marvin H. K.","family":"Eng","sequence":"additional","affiliation":[{"name":"Henry Ford Health System  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5784-9924","authenticated-orcid":false,"given":"Dee Dee","family":"Wang","sequence":"additional","affiliation":[{"name":"Henry Ford Health System  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Paone","sequence":"additional","affiliation":[{"name":"Henry Ford Health System  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1202-6673","authenticated-orcid":false,"given":"Robert J.","family":"Lederman","sequence":"additional","affiliation":[{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute National Institutes of Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.09.036"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.06.031"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27531"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs490"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"66","article-title":"The double\u2010orifice valve technique to treat tricuspid valve incompetence","volume":"25","author":"Hetzer R","year":"2016","journal-title":"J Heart Valve Dis"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.01.054"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28955","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28955","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T16:11:45Z","timestamp":1693757505000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,8]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/ccd.28955"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28955","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,8]]},"assertion":[{"value":"2020-01-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}