{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:43:25Z","timestamp":1762980205330},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T00:00:00Z","timestamp":1446422400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951115001663_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Transcatheter pulmonary valve implantation is usually performed from a femoral venous \u2013 transfemoral \u2013 approach, but this may not be the optimal vascular access option in some patients. This study aimed to determine which group of patients might benefit from an internal jugular \u2013 transjugular \u2013 approach for transcatheter pulmonary valve implantation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951115001663_abs2\" sec-type=\"general\"><jats:title>Methods<\/jats:title><jats:p>This multicentre retrospective study included all patients who underwent attempted transcatheter pulmonary valve placement in the right ventricular outflow tract between April 2010 and June 2012 at two large congenital heart centres. Patients were divided into two groups based on venous access site \u2013 transfemoral or transjugular. Patient characteristics, procedural outcomes, and complications were compared between groups.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951115001663_abs3\" sec-type=\"general\"><jats:title>Results<\/jats:title><jats:p>Of 81 patients meeting the inclusion criteria (median age 16.4 years), the transjugular approach was used in 14 patients (17%). The transjugular group was younger (median age 11.9 versus 17.3 years), had lower body surface area (mean 1.33 versus 1.61 m<jats:sup>2<\/jats:sup>), more often had moderate or greater tricuspid regurgitation (29% versus 7%), and had a higher ratio of right ventricle-to-systemic systolic pressure (mean 82.4 versus 64.7). Patients requiring a transjugular approach after an unsuccessful transfemoral approach had longer fluoroscopic times and procedure duration.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951115001663_abs4\" sec-type=\"general\"><jats:title>Conclusions<\/jats:title><jats:p>The transjugular approach for transcatheter pulmonary valve implantation is used infrequently but is more often used in younger and smaller patients. Technical limitations from a transfemoral approach may be anticipated if there is moderate or greater tricuspid regurgitation or higher right ventricular pressures. In these patients, a transjugular approach should be considered early.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951115001663","type":"journal-article","created":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T04:24:33Z","timestamp":1446438273000},"page":"948-956","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Factors associated with the internal jugular venous approach for Melody\u2122 Transcatheter Pulmonary Valve implantation"],"prefix":"10.1017","volume":"26","author":[{"given":"Jeffrey D.","family":"Zampi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren P.","family":"Berman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin L.","family":"Bocks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunkyung","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan M.","family":"Zahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy C.","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin A.","family":"Shaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee K.","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,11,2]]},"reference":[{"key":"S1047951115001663_ref10","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.7.813"},{"key":"S1047951115001663_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.06.034"},{"key":"S1047951115001663_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(98)70312-5"},{"key":"S1047951115001663_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-8994(00)00272-1"},{"key":"S1047951115001663_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.08.002"},{"key":"S1047951115001663_ref14","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.735779"},{"key":"S1047951115001663_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq515"},{"key":"S1047951115001663_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20122"},{"key":"S1047951115001663_ref12","doi-asserted-by":"publisher","DOI":"10.1586\/14779072.1.4.541"},{"key":"S1047951115001663_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2014.10.001"},{"key":"S1047951115001663_ref9","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.121158"},{"key":"S1047951115001663_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.02.039"},{"key":"S1047951115001663_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02844-0"},{"key":"S1047951115001663_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.921692"},{"key":"S1047951115001663_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24518"},{"key":"S1047951115001663_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)02521-2"},{"key":"S1047951115001663_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.05.027"},{"key":"S1047951115001663_ref4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000881"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951115001663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T00:19:31Z","timestamp":1555633171000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951115001663\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,2]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["S1047951115001663"],"URL":"https:\/\/doi.org\/10.1017\/s1047951115001663","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,2]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2015\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}