{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:08:24Z","timestamp":1778825304606,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003569","name":"Ministry of Food and Drug Safety","doi-asserted-by":"publisher","award":["RS\u20102020\u2010KD000104"],"award-info":[{"award-number":["RS\u20102020\u2010KD000104"]}],"id":[{"id":"10.13039\/501100003569","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003569","name":"Ministry of Food and Drug Safety","doi-asserted-by":"publisher","award":["2710033692"],"award-info":[{"award-number":["2710033692"]}],"id":[{"id":"10.13039\/501100003569","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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The management of severe tricuspid regurgitation (TR) remains challenging. Although several promising transcatheter devices have been developed, procedural complexity and the need for special imaging techniques are hurdles to their widespread clinical application.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The study aimed to evaluate the safety and efficacy of a novel atraumatic vertical spacer, Pivot\u2010Bridge, for severe TR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with severe TR who were considered surgical candidates were enrolled. All procedures were guided by fluoroscopy and transthoracic echocardiography (TTE). Baseline characteristics, serious adverse events, and functional status were collected. TTE and cardiac computed tomography (CT) were serially performed for evaluation of TR and right ventricular (RV) remodeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen patients (68\u2009\u00b1\u200911 years old, 27% women) were enrolled. Procedural success was achieved in all patients (the mean procedural time of 47\u2009\u00b1\u200924\u2009min). During the device implantation (median 5 days), no serious adverse events occurred. TR was reduced by one grade or more in all patients. In TTE, vena contracta width and effective regurgitant orifice area significantly decreased by Pivot\u2010Bridge (1.6\u2009\u00b1\u20090.8 to 0.8\u2009\u00b1\u20090.3\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 and 1.2\u2009\u00b1\u20090.5 to 0.6\u2009\u00b1\u20090.3\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). RV end diastolic volume also significantly reduced at follow\u2010up CT (320.2\u2009\u00b1\u200993.7 to 294.4\u2009\u00b1\u200981.1\u2009mm\n                      <jats:sup>3<\/jats:sup>\n                      ;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026). Ten patients underwent surgery with removal of the device, and five patients were stabilized by medical treatment, in whom the Pivot\u2010Bridge was removed percutaneously.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Pivot\u2010Bridge was safe and effective in patients with severe TR. TR reduction was observed in all patients without periprocedural complications or adverse cardiovascular events during device placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov number: NCT05854095.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70572","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T10:21:50Z","timestamp":1774606910000},"page":"2069-2077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and Efficacy of Pivot\u2010Bridge for Severe Functional Tricuspid Regurgitation: The First\u2010in\u2010Human Experiences"],"prefix":"10.1002","volume":"107","author":[{"given":"Eun Kyoung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Heart Vascular Stroke Institute, Samsung Medical Center Sungkyunkwan University Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0183-6996","authenticated-orcid":false,"given":"Min\u2010Ku","family":"Chon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, School of Medicine, Pusan National University and Cardiovascular Center Yangsan Hospital Yangsan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun\u2010Sook","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology Hallym University Sacred Heart Hospital Anyang South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6122-214X","authenticated-orcid":false,"given":"Yong\u2010Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Cardiology, School of Medicine, Pusan National University and Cardiovascular Center Yangsan Hospital Yangsan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, SoonChunHyang University College of Medicine SoonChunHyang University Bucheon Hospital Bucheon South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae\u2010Hyeong","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Cardiology in Internal Medicine, Chungnam National University Hospital, School of Medicine Chungnam National University Daejeon South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae\u2010Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Cardiology in Internal Medicine, Chungnam National University Hospital, School of Medicine Chungnam National University Daejeon South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Jin","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sejong General Hospital Bucheon South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9169-6968","authenticated-orcid":false,"given":"Eun Seok","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ulsan University Hospital University of Ulsan College of Medicine Ulsan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuck\u2010Jun","family":"Yoon","sequence":"additional","affiliation":[{"name":"Division of Cardiology Keimyung University Dongsan Medical Center Daegu South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Hyun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Asan Medical Center University of Ulsan College of Medicine Seoul South 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