{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T05:47:24Z","timestamp":1794462444699,"version":"4.9.1"},"reference-count":21,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.athoracsur.2025.01.035","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T02:51:42Z","timestamp":1740451902000},"page":"872-880","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Apical Access Management in Transapical Transcatheter Mitral Valve Replacement"],"prefix":"10.1016","volume":"120","author":[{"given":"Tillmann","family":"Kerbel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam G.","family":"Wild","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela M.","family":"Hell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Herkner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliane","family":"Zillner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar W.","family":"Kuhn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Rudolph","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Walther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenard","family":"Conradi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Zierer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Maisano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Rosati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Colli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Pi\u00f1\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Reineke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaby","family":"Aphram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Dubois","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Hausleiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Stephan von Bardeleben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-5432","authenticated-orcid":false,"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tillmann","family":"Kerbel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Mach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliane","family":"Zillner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam G.","family":"Wild","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela M.","family":"Hell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias F.","family":"Ruf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph Stephan","family":"von Bardeleben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Treede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Herkner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Kuhn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Baldus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matti","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Rudolph","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Bleiziffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Walther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenard","family":"Conradi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Ludwig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Zierer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilinca","family":"Damian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Kellermair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Maisano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Denti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Musumeci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Rosati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Adamo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Colli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Giannini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Pi\u00f1\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodr\u00edgo","family":"Estevez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Reineke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabien","family":"Praz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaby","family":"Aphram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Maes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Dubois","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Hausleiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2025.01.035_bib1","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/ejcts\/ezab389","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"60","author":"Vahanian","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib2","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.jacc.2016.10.068","article-title":"Transcatheter mitral valve replacement for patients with symptomatic mitral regurgitation: a global feasibility trial","volume":"69","author":"Muller","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib3","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1016\/j.jacc.2018.12.066","article-title":"Initial feasibility study of a new transcatheter mitral prosthesis: the first 100 patients","volume":"73","author":"Sorajja","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib4","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1002\/ejhf.2434","article-title":"Transapical mitral valve implantation for treatment of symptomatic mitral valve disease: a real-world multicentre experience","volume":"24","author":"Wild","year":"2022","journal-title":"Eur J Heart Fail"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib5","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1007\/s00392-023-02174-8","article-title":"Characteristics and outcomes of patients undergoing transcatheter mitral valve replacement with the Tendyne system","volume":"112","author":"Wilde","year":"2023","journal-title":"Clin Res Cardiol"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib6","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/j.jcin.2023.12.027","article-title":"Transapical mitral valve replacement: 1-year results of the real-world Tendyne European experience registry","volume":"17","author":"Hell","year":"2024","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib7","article-title":"Comparison of transcatheter edge-to-edge and surgical repair in patients with functional mitral regurgitation using a meta-analytic approach","volume":"9","author":"Felbel","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib8","doi-asserted-by":"crossref","first-page":"2523","DOI":"10.1016\/j.jcin.2022.09.005","article-title":"Randomized comparison of transcatheter edge-to-edge repair for degenerative mitral regurgitation in prohibitive surgical risk patients","volume":"15","author":"Lim","year":"2022","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib9","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1002\/ejhf.2492","article-title":"Characteristics and outcomes of patients screened for transcatheter mitral valve implantation: 1-year results from the CHOICE-MI registry","volume":"24","author":"Ben Ali","year":"2022","journal-title":"Eur J Heart Fail"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib10","first-page":"469","article-title":"Apical-access-related complications associated with trans-catheter aortic valve implantation","volume":"40","author":"Bleiziffer","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging","volume":"28","author":"Lang","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib12","article-title":"Off-label transapical beating-heart transcatheter mitral valve replacement in severe mitral annular calcification","volume":"2022","author":"Kerbel","year":"2022","journal-title":"Multimed Man Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib13","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1016\/j.jcmg.2019.01.041","article-title":"Optimizing cardiac CT protocols for comprehensive acquisition prior to percutaneous MV and TV repair\/replacement","volume":"13","author":"Pulerwitz","year":"2020","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib14","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1093\/eurheartj\/ehv333","article-title":"Clinical trial design principles and endpoint definitions for transcatheter mitral valve repair and replacement: part 2: endpoint definitions: a consensus document from the Mitral Valve Academic Research Consortium","volume":"36","author":"Stone","year":"2015","journal-title":"Eur Heart J"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib15","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1093\/ejcts\/ezy363","article-title":"Transfemoral versus transapical transcatheter aortic valve implantation: a single-centre experience","volume":"55","author":"Reents","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib16","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008903","article-title":"Antegrade intentional laceration of the anterior mitral leaflet to prevent left ventricular outflow tract obstruction: a simplified technique from bench to bedside","volume":"13","author":"Lisko","year":"2020","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib17","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.xjtc.2023.01.019","article-title":"Novel technique to prevent outflow tract obstruction in transapical transcatheter mitral valve replacement: The MitraCut technique","volume":"18","author":"Andreas","year":"2023","journal-title":"JTCVS Tech"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib18","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/j.jcin.2022.12.014","article-title":"Direct, transapical, scissors-mediated LAMPOON: keeping it simple","volume":"16","author":"Charitos","year":"2023","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib19","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.4244\/EIJ-D-24-00490","article-title":"Prevention of left ventricular outflow tract obstruction in transapical mitral valve replacement: the MitraCut procedure","volume":"20","author":"Andreas","year":"2024","journal-title":"EuroIntervention"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib20","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1161\/CIRCIMAGING.113.000899","article-title":"Cardiac MRI in the assessment of cardiac injury and toxicity from cancer chemotherapy: a systematic review","volume":"6","author":"Thavendiranathan","year":"2013","journal-title":"Circ Cardiovasc Imaging"},{"key":"10.1016\/j.athoracsur.2025.01.035_bib21","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1016\/j.jcmg.2020.03.013","article-title":"A cardiac computed tomography-based score to categorize mitral annular calcification severity and predict valve embolization","volume":"13","author":"Guerrero","year":"2020","journal-title":"JACC Cardiovasc Imaging"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S000349752500164X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S000349752500164X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T08:30:16Z","timestamp":1762849816000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S000349752500164X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S000349752500164X"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.01.035","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Apical Access Management in Transapical Transcatheter Mitral Valve Replacement","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.01.035","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of The Society of Thoracic Surgeons.","name":"copyright","label":"Copyright"}]}}