{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:48:40Z","timestamp":1769842120343,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with <jats:sc>d<\/jats:sc>\u2010transposition of the great arteries (<jats:sc>d<\/jats:sc>\u2010TGA) who have undergone an arterial switch operation (ASO) can develop right ventricular outflow tract (RVOT) dysfunction with pulmonary regurgitation (PR) or stenosis. In these patients, treatment may include transcatheter pulmonary valve replacement (TPVR). Coronary compression is a contraindication occurring in 5% of typical TPVR cases. After ASO, there are various anatomical considerations that can confound TPVR, including potential coronary artery compression. Our goal is to understand feasibility of TPVR in patients following ASO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective multicenter cohort study of patients with RVOT dysfunction after ASO who underwent cardiac catheterization with intention to perform TPVR from 2008 to 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across nine centers, 33 patients met inclusion criteria. TPVR was successful in 22 patients (66%), 19 receiving a Melody valve and 3 a SAPIEN valve. RVOT stenosis in isolation or with PR dictated need for TPVR in nearly all patients. One serious adverse event occurred with valve embolization. After TPVR, the RVOT peak gradient decreased from 43 to 9\u2009mm\u2009Hg (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001); PR was trivial\/none in all but one patient, in whom it was mild. Coronary compression prohibiting TPVR occurred in eight patients (24%) and two patients (6%) had severe aortic regurgitation from aortic root deformation precluding TPVR. Seven patients underwent RVOT reintervention a median of 5.3 years post\u2010TPVR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TPVR in patients with <jats:sc>d<\/jats:sc>\u2010TGA after ASO is feasible, but in this cohort, coronary compression or aortic root distortion precluded TPVR in one\u2010third of patients. The rate of RVOT reintervention after TPVR was higher in this cohort of ASO patients than in prior studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31152","type":"journal-article","created":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T05:35:10Z","timestamp":1721540110000},"page":"531-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Transcatheter pulmonary valve replacement after arterial switch operation"],"prefix":"10.1002","volume":"104","author":[{"given":"Stephen","family":"Nageotte","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Loma Linda University Children's Hospital Loma Linda California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Salavitabar","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital The Heart Center Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-8551","authenticated-orcid":false,"given":"Jenny E.","family":"Zablah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, University of Colorado School of Medicine Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Allen","family":"Ligon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Healthcare of Atlanta Emory University Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariel E.","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, New York\u2010Presbyterian\u2010Morgan Stanley Children's Hospital Columbia University Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howaida","family":"El\u2010Said","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology University of California San Diego La Jolla California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Guyon","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, The Pediatric Heart Institute Joe DiMaggio Children's Hospital Hollywood Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9771-2674","authenticated-orcid":false,"given":"Dana","family":"Boucek","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Primary Children's Hospital University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2130-7880","authenticated-orcid":false,"given":"Maria","family":"Alvarez\u2010Fuente","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Ram\u00f3n y Cajal University Hospital Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7242-0934","authenticated-orcid":false,"given":"Doff B.","family":"McElhinney","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics &amp; Cardiothoracic Surgery, Lucile Packard Children's Hospital Heart Center Stanford University School of Medicine Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Balzer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Washington University in St. Louis School of Medicine St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shabana","family":"Shahanavaz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Heart Institute Cincinnati, Children's Hospital College of Medicine University of Cincinnati Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40063-9"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39303-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.09.015"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-018-1012-9"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.135046"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.03.031"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.03.019"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.068"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.120714"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.02.040"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000202"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.965616"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25897"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.10.031"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.06.034"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.921692"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26547"},{"issue":"11","key":"e_1_2_9_19_1","article-title":"Long\u2010term predictors of aortic root dilation and aortic regurgitation after arterial switch operation","volume":"110","author":"Schwartz ML","year":"2004","journal-title":"Circulation"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12270"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T12:54:10Z","timestamp":1748350450000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,20]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/ccd.31152"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31152","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,20]]},"assertion":[{"value":"2024-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}