{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:19:53Z","timestamp":1788268793960,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter pulmonary valve replacement (TPVR) requires selecting the optimal device type, size, and position. Variability in anatomical shape may affect procedural planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate interobserver agreement (IOA) in TPVR device selection using 3D patient\u2010specific anatomies and explore a framework for determining agreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six experienced observers from three regions of the Americas independently assessed valve type (self\u2010expanding [S\u2010E], balloon\u2010expandable [B\u2010E], surgical approach [SA]), size, and position for 60 3D reconstructed anatomies (pediatric and adult) derived from cardiac magnetic resonance images. Agreement was quantified using Cohen's and Fleiss' Kappa coefficients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Discussion<\/jats:title>\n                    <jats:p>Overall, IOA was fair to moderate in the adult group and slight to fair in the pediatric group. Perfect agreement occurred in only eight cases, seven involving S\u2010E valves and one SA. S\u2010E valves were generally selected for anatomies with regular geometry but variable curvature, while SA valves were mainly chosen for markedly large or small anatomies. B\u2010E selections showed no consistent pattern. One consideration of this study is that not all transcatheter therapies were available across the regions, which may have influenced decision\u2010making. Additionally, interventionists typically rely on 2D imaging for procedural planning, and the use of 3D reconstructions without clinical data may also have influenced the results. Coronary anatomy was not included in the assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Agreement in selecting TPVR devices is limited for the pediatric group but moderate for adults. Variation in preferences among observers highlights the need for equitable access to diverse valve solutions across different RVOT\u2010PA anatomies and demographic contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70708","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:19:38Z","timestamp":1782937178000},"page":"781-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["One Anatomy, Multiple Valve Choices: Interobserver Agreement in Selecting Transcatheter Pulmonary Valve"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1441-9315","authenticated-orcid":false,"given":"Camilo E.","family":"P\u00e9rez\u2010Cualt\u00e1n","sequence":"first","affiliation":[{"name":"Biomedical Engineering Department Universidad de los Andes Bogot\u00e1 Colombia"},{"name":"Center for 3D Modeling and Printing, Fundaci\u00f3n Cardioinfantil Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Cabrales","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Garay","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, School of Medicine Pontifical Catholic University of Chile Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Eduardo","family":"Guerrero\u2010Chalela","sequence":"additional","affiliation":[{"name":"Adult Congenital Heart Disease Service Fundaci\u00f3n Cardioinfantil\u2013Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Rivarola","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan P.","family":"Rozo","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9074-813X","authenticated-orcid":false,"given":"Juan Carlos","family":"Samayoa","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Masonic Children's Hospital University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-8551","authenticated-orcid":false,"given":"Jenny","family":"Zablah","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Colorado Anschutz Medical Campus Heart Institute, Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Navarro\u2010Rueda","sequence":"additional","affiliation":[{"name":"Center for 3D Modeling and Printing, Fundaci\u00f3n Cardioinfantil Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"},{"name":"Visible Heart Laboratories, Department of Surgery, Institute for Engineering in Medicine University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C.","family":"Brice\u00f1o Triana","sequence":"additional","affiliation":[{"name":"Biomedical Engineering Department Universidad de los Andes Bogot\u00e1 Colombia"},{"name":"Center for 3D Modeling and Printing, Fundaci\u00f3n Cardioinfantil Instituto de Cardiolog\u00eda\u2013LaCardio Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Felipe","family":"Giraldo","sequence":"additional","affiliation":[{"name":"Biomedical Engineering Department Universidad de los Andes Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"issue":"5","key":"e_1_2_10_2_1","first-page":"1","article-title":"Transcatheter Pulmonary Valve Implantation in Congenital Heart Diseases: Current Advances and Future Prospectives","volume":"12","author":"Giordano M.","year":"2025","journal-title":"Children. 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