{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:06:24Z","timestamp":1789693584046,"version":"4.0.1"},"reference-count":26,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100024588","name":"Royal Papworth Hospital NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024588","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jtcvs.2026.03.603","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:35:17Z","timestamp":1777887317000},"page":"404-412","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship: The Royal Papworth experience at a high-volume center"],"prefix":"10.1016","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8655-5856","authenticated-orcid":false,"given":"Ujjawal","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Chia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Varzaly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Seetharaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florencia","family":"Ares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fouad John","family":"Taghavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Tsui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choo","family":"Ng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-7580","authenticated-orcid":false,"given":"David P.","family":"Jenkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"143","key":"10.1016\/j.jtcvs.2026.03.603_bib1","doi-asserted-by":"crossref","DOI":"10.1183\/16000617.0111-2016","article-title":"Pulmonary endarterectomy in the management of chronic thromboembolic pulmonary hypertension","volume":"26","author":"Jenkins","year":"2017","journal-title":"Eur Respir Rev"},{"issue":"38","key":"10.1016\/j.jtcvs.2026.03.603_bib2","doi-asserted-by":"crossref","first-page":"3618","DOI":"10.1093\/eurheartj\/ehac237","article-title":"2022 ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension","volume":"43","author":"Humbert","year":"2022","journal-title":"Eur Heart J"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib3","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01294-2024","article-title":"Chronic thromboembolic pulmonary disease","volume":"64","author":"Kim","year":"2024","journal-title":"Eur Respir J"},{"issue":"9","key":"10.1016\/j.jtcvs.2026.03.603_bib4","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1161\/CIRCULATIONAHA.115.016522","article-title":"Long-term outcome of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry","volume":"133","author":"Delcroix","year":"2016","journal-title":"Circulation"},{"issue":"18","key":"10.1016\/j.jtcvs.2026.03.603_bib5","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1161\/CIRCULATIONAHA.115.019470","article-title":"Dynamic risk stratification of patient long-term outcome after pulmonary endarterectomy: results from the United Kingdom National Cohort","volume":"133","author":"Cannon","year":"2016","journal-title":"Circulation"},{"issue":"9800","key":"10.1016\/j.jtcvs.2026.03.603_bib6","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1016\/S0140-6736(11)61384-6","article-title":"Bypass, circulatory arrest, and pulmonary endarterectomy","volume":"378","author":"Jamieson","year":"2011","journal-title":"Lancet"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.03.603_bib7","first-page":"274","article-title":"Technique and outcomes of pulmonary endarterectomy surgery","volume":"14","author":"Thistlethwaite","year":"2008","journal-title":"Ann Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib8","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.athoracsur.2018.08.002","article-title":"Pulmonary thromboendarterectomy: how I teach it","volume":"106","author":"de Perrot","year":"2018","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.03.603_bib9","doi-asserted-by":"crossref","first-page":"128","DOI":"10.21037\/acs-2021-pte-17","article-title":"Pulmonary thromboendarterectomy\u2014the Royal Papworth experience","volume":"11","author":"Jenkins","year":"2022","journal-title":"Ann Cardiothorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.03.603_bib10","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.athoracsur.2012.04.004","article-title":"Pulmonary endarterectomy: recent changes in a single institution\u2019s experience of more than 2,700 patients","volume":"94","author":"Madani","year":"2012","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.03.603_bib11","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01865-2024","article-title":"The volume\u2013outcome relationship for pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension","volume":"65","author":"Heuts","year":"2025","journal-title":"Eur Respir J"},{"issue":"7","key":"10.1016\/j.jtcvs.2026.03.603_bib12","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1016\/j.healun.2024.04.047","article-title":"Safety and feasibility of a pulmonary endarterectomy training program: experience from the UK national programme","volume":"44","author":"Chiu","year":"2025","journal-title":"J Heart Lung Transplant"},{"issue":"12","key":"10.1016\/j.jtcvs.2026.03.603_bib13","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"12","author":"von Elm","year":"2014","journal-title":"Int J Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib14","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.02096-2019","article-title":"CAMPHOR score: patient-reported outcomes are improved by pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension","volume":"56","author":"Newnham","year":"2020","journal-title":"Eur Respir J"},{"issue":"136","key":"10.1016\/j.jtcvs.2026.03.603_bib15","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1183\/16000617.00000815","article-title":"Pulmonary endarterectomy: the potentially curative treatment for patients with chronic thromboembolic pulmonary hypertension","volume":"24","author":"Jenkins","year":"2015","journal-title":"Eur Respir Rev"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.03.603_bib16","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/S0011-3840(00)80005-2","article-title":"Pulmonary endarterectomy","volume":"37","author":"Jamieson","year":"2000","journal-title":"Curr Probl Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib17","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1053\/j.optechstcvs.2019.10.005","article-title":"Operative technique in pulmonary thromboendarterectomy","volume":"24","author":"Gernhofer","year":"2019","journal-title":"Oper Tech Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib18","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.athoracsur.2024.07.052","article-title":"Pulmonary thromboendarterectomy: the potentially curative treatment of choice for chronic thromboembolic pulmonary hypertension","volume":"119","author":"Madani","year":"2025","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2026.03.603_bib20","author":"Ho"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.03.603_bib22","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1186\/s13019-017-0686-1","article-title":"Quantifying the learning curve for pulmonary thromboendarterectomy","volume":"12","author":"Sihag","year":"2017","journal-title":"J Cardiothorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib23","first-page":"493","article-title":"Impact of the learning curve on early outcomes following the ross procedure","volume":"33","author":"Bouhout","year":"2017","journal-title":"Can J Cardiol"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.03.603_bib24","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1016\/j.jtcvs.2025.01.021","article-title":"Eliminating the learning curve in robotic mitral valve repair: results from 1400 patients","volume":"170","author":"Chikwe","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.03.603_bib25","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1016\/j.jtcvs.2018.11.110","article-title":"Developing skills for thoracic aortic surgery with hypothermic circulatory arrest","volume":"157","author":"Mazine","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.03.603_bib26","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1186\/s13063-016-1383-4","article-title":"Assessment of learning curves in complex surgical interventions: a consecutive case-series study","volume":"17","author":"Papachristofi","year":"2016","journal-title":"Trials"},{"issue":"9800","key":"10.1016\/j.jtcvs.2026.03.603_bib27","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1016\/S0140-6736(11)61144-6","article-title":"Circulatory arrest versus cerebral perfusion during pulmonary endarterectomy surgery (PEACOG): a randomised controlled trial","volume":"378","author":"Vuylsteke","year":"2011","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.03.603_bib28","doi-asserted-by":"crossref","first-page":"172","DOI":"10.21037\/acs-2021-pte-179","article-title":"Long-term outcomes after pulmonary endarterectomy","volume":"11","author":"Dardi","year":"2022","journal-title":"Ann Cardiothorac Surg"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522326008433?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522326008433?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:43:08Z","timestamp":1789692188000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522326008433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0022522326008433"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2026.03.603","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship: The Royal Papworth experience at a high-volume center","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2026.03.603","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}