{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:32:44Z","timestamp":1791261164366,"version":"4.1.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2024,5]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Anatomic selection for Harmony valve implant is determined with the aid of a screening report and perimeter plot (PP) that depicts the perimeter-derived radius along the right ventricular outflow tract (RVOT) and projects device oversizing. The PP provides an estimation of suitability for implant, but its sensitivity as a screening method is unknown. This study was performed to describe anatomic features and outcomes in patients who underwent Harmony TPV25 implant despite a PP that predicted inadequate oversizing.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n We reviewed RVOT anatomic features and measurements in patients who underwent transcatheter pulmonary valve replacement with the Harmony TPV25 device despite a PP that predicted inadequate oversizing.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n This study included 22 patients. There were no unsuccessful implants or adverse valve-related events. Anatomic features varied, but all patients fit into 1 of 3 anatomic types characterized by differences in RVOT dimensions. Type 1 patients (n=9) had a long RVOT with a choke point and a wide main pulmonary artery. Type 2 patients (n=6) had a short RVOT that was pyramidal in shape, with no choke point, and extensive main pulmonary artery lengthening\/expansion during systole. Type 3 patients (n=7) had a short, bulbous main pulmonary artery with a choke point and an open pulmonary artery bifurcation.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n Transcatheter pulmonary valve replacement with the Harmony valve is feasible in some patients whose PP fit analysis predicts inadequate oversizing. All cases in this series fit into 1 of 3 anatomic patterns, which are not identified in the screening report. Implanters must review cases individually to assess the feasibility of the implant.<\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/circinterventions.123.013889","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T05:00:29Z","timestamp":1712898029000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Transcatheter Pulmonary Valve Replacement With the Harmony Valve in Patients Who Do Not Meet Recommended Oversizing Criteria on the Screening Perimeter Plot"],"prefix":"10.1161","volume":"17","author":[{"given":"Doff B.","family":"McElhinney","sequence":"first","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Pediatrics (Cardiology), Stanford University School of Medicine, Palo Alto, CA (D.B.M.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, University of Pennsylvania School of Medicine and The Children\u2019s Hospital of Philadelphia (M.J.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil A.","family":"Aboulhosn","sequence":"additional","affiliation":[{"name":"Division of Cardiology, UCLA Medical Center, Los Angeles, CA (J.A.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3711-0003","authenticated-orcid":true,"given":"Allison K.","family":"Cabalka","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Cardiology and Structural Heart Diseases, Mayo Clinic, Rochester, MN (A.K.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7587-7518","authenticated-orcid":true,"given":"Brian H.","family":"Morray","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Hospital, University of Washington (B.H.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David T.","family":"Balzer","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Washington University School of Medicine, St. Louis, MO (D.T.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5992-568X","authenticated-orcid":true,"given":"Athar M.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Texas Children\u2019s Hospital and Department of Pediatrics, Baylor College of Medicine, Houston (A.M.Q.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8497-2477","authenticated-orcid":true,"given":"Arvind K.","family":"Hoskoppal","sequence":"additional","affiliation":[{"name":"Heart Institute, UPMC Children\u2019s Hospital of Pittsburgh and Department of Pediatrics, University of Pittsburgh School of Medicine, PA (A.K.H., B.H.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8508-9523","authenticated-orcid":true,"given":"Bryan H.","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Heart Institute, UPMC Children\u2019s Hospital of Pittsburgh and Department of Pediatrics, University of Pittsburgh School of Medicine, PA (A.K.H., B.H.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.121.010852"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.10.041"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.07.034"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008320"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.01.046"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.03.002"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.02.010"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30504"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.003282"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/10976640601187596"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.123.013889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T17:09:11Z","timestamp":1748538551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.123.013889"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.123.013889"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.123.013889","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2023-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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