{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T20:56:52Z","timestamp":1774731412425,"version":"3.50.1"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Access-related vascular and bleeding complications during transcatheter aortic valve implantation (TAVI) are associated with significant morbidity and mortality. Ultrasound-guided (USG) puncture may reduce the incidence of these adverse events, particularly in large-bore arterial access. However, large-scale data on this approach are limited, and it has not yet been fully implemented into standard clinical practice. We compared access-related vascular and bleeding complications in USG versus fluoroscopy-guided access from a large multicenter TAVI registry.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>The PULSE registry (Plug- or Suture-Based Vascular Closure After TAVI) retrospectively evaluated data of 9295 patients who underwent transfemoral TAVI at 10 high-volume German heart centers (2016\u20132021). USG and fluoroscopy-guided access were performed in 1992 (21.4%) and 7303 (78.6%) patients, respectively. Propensity score matching (1:1) yielded 895 matched pairs. The primary end point, a composite of minor and major vascular complications or bleeding type II-IV, was assessed according to Valve Academic Research Consortium definitions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Patients in the USG and fluoroscopy-guided groups (median age, 81.9 [78.3\u201385.0] years; 47.8% female patients) showed well-balanced baseline characteristics. The overall risk profile was comparable (median EuroSCORE II: 3.2 versus 3.5; SD, 0.007 [\u22120.086 to 0.099]). The composite primary end point occurred less frequently in the USG group (11.7% versus 16.0%; odds ratio, 0.7;\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.01), driven by lower rates of procedural bleeding (5.4% versus 9.2%; odds ratio, 0.56;\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.002) and with lower rates of endovascular treatment (0.7% versus 2.5%;\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.005).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>In patients with transfemoral TAVI, USG access demonstrated lower rates of access-related vascular complications and type II-IV bleeding compared with fluoroscopy-guided access. Implementing USG puncture as the standard of care may improve access-related outcomes after TAVI.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.124.014771","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T05:00:13Z","timestamp":1748494813000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Procedural and Clinical Outcomes According to Ultrasound-Guided Access in TAVI: A Propensity-Matched Comparative Subanalysis From the PULSE Registry"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8100-7594","authenticated-orcid":true,"given":"David","family":"Grundmann","sequence":"first","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8839-7476","authenticated-orcid":true,"given":"Tanja","family":"Rudolph","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr-University and University of Bielefeld, Germany (T.R., S. Bleiziffer, R.B.-L., M.P.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6990-8135","authenticated-orcid":true,"given":"Matti","family":"Adam","sequence":"additional","affiliation":[{"name":"University Hospital Cologne-Heart Center, Klinik III f\u00fcr Innere Medizin-Kardiologie, Pneumologie und internistische Intensivmedizin, K\u00f6ln, Germany (M.A., M.M., H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9693-4622","authenticated-orcid":true,"given":"Caroline","family":"Kellner","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"Center for Population Health Innovation (POINT) (C.K., A.G., S. Blankenberg), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9669-7372","authenticated-orcid":true,"given":"Sabine","family":"Bleiziffer","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr-University and University of Bielefeld, Germany (T.R., S. Bleiziffer, R.B.-L., M.P.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6355-3222","authenticated-orcid":true,"given":"Daniel","family":"Braun","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik I, Klinikum der Universit\u00e4t M\u00fcnchen, Germany (D.B., J.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2017-094X","authenticated-orcid":true,"given":"Alexander R.","family":"Tamm","sequence":"additional","affiliation":[{"name":"Zentrum fu\u0308r Kardiologie-Kardiologie I, Universit\u00e4tsmedizin Mainz, Germany (A.R.T., M.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7746-8723","authenticated-orcid":true,"given":"Max","family":"Meertens","sequence":"additional","affiliation":[{"name":"University Hospital Cologne-Heart Center, Klinik III f\u00fcr Innere Medizin-Kardiologie, Pneumologie und internistische Intensivmedizin, K\u00f6ln, Germany (M.A., M.M., H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4756-5397","authenticated-orcid":true,"given":"Matthias","family":"Renker","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany (M.R., C.W.H.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1507-6449","authenticated-orcid":true,"given":"Jonas","family":"Gmeiner","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik I, Klinikum der Universit\u00e4t M\u00fcnchen, Germany (D.B., J.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7015-1056","authenticated-orcid":true,"given":"Alexander","family":"Sedaghat","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery (H.R., A.S.), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"Med. Klinik II-Kardiologie, Universit\u00e4tsklinikum Bonn, Germany (A.S., M. Sudo)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4351-420X","authenticated-orcid":true,"given":"David","family":"Leistner","sequence":"additional","affiliation":[{"name":"Charite\u0301-Universit\u00e4tsmedizin Berlin, Campus Benjamin Franklin, Medizinische Klinik f\u00fcr Kardiologie, Germany (D.L., B.J.)."},{"name":"Med. Klinik III-Kardiologie, Angiologie, Universit\u00e4res Herzzentrum, Universit\u00e4tsmedizin Frankfurt\/Main, Germany (D.L.)."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Rhein-Main (D.L.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian W.","family":"Hamm","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany (M.R., C.W.H.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5810-2868","authenticated-orcid":true,"given":"Hendrik","family":"Wienemann","sequence":"additional","affiliation":[{"name":"University Hospital Cologne-Heart Center, Klinik III f\u00fcr Innere Medizin-Kardiologie, Pneumologie und internistische Intensivmedizin, K\u00f6ln, Germany (M.A., M.M., H.W.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1552-809X","authenticated-orcid":true,"given":"Norvydas","family":"Zapustas","sequence":"additional","affiliation":[{"name":"Helios Universit\u00e4tsklinikum Wuppertal-Herzzentrum Universit\u00e4t Witten\/Herdecke, Germany (N.Z.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Juri","sequence":"additional","affiliation":[{"name":"Charite\u0301-Universit\u00e4tsmedizin Berlin, Campus Benjamin Franklin, Medizinische Klinik f\u00fcr Kardiologie, Germany (D.L., B.J.)."},{"name":"Department of Cardiology, University Hospital Zurich, Switzerland (B.J.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Salem","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin III, Kardiologie, Angiologie und Intensivmedizin, Universita\u0308tsklinikum Schleswig-Holstein, Germany (M. Salem, J.P., D.F.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9057-9798","authenticated-orcid":true,"given":"Roman","family":"Benetti-Lehmann","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr-University and University of Bielefeld, Germany (T.R., S. Bleiziffer, R.B.-L., M.P.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1909-4329","authenticated-orcid":true,"given":"Henryk","family":"Dreger","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum (H.D.), Deutsches Herzzentrum der Charit\u00e9, Berlin, Germany."},{"name":"Structural Heart Interventions Program (H.D.), Deutsches Herzzentrum der Charit\u00e9, Berlin, Germany."},{"name":"Charit\u00e9-Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Germany (H.D.)."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Berlin (H.D.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5211-5593","authenticated-orcid":true,"given":"Alina","family":"Gossling","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"Center for Population Health Innovation (POINT) (C.K., A.G., S. Blankenberg), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6850-6929","authenticated-orcid":true,"given":"Awesta","family":"Nahif","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6488-2362","authenticated-orcid":true,"given":"Stefan","family":"Blankenberg","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"Center for Population Health Innovation (POINT) (C.K., A.G., S. Blankenberg), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg\/L\u00fcbeck\/Kiel (S. Blankenberg, H.R., D.F., M. Seiffert)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Reichenspurner","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery (H.R., A.S.), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg\/L\u00fcbeck\/Kiel (S. Blankenberg, H.R., D.F., M. Seiffert)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5190-813X","authenticated-orcid":true,"given":"Niklas","family":"Schofer","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery (H.R., A.S.), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"Med. Klinik II-Kardiologie, Universit\u00e4tsklinikum Bonn, Germany (A.S., M. Sudo)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3703-9306","authenticated-orcid":true,"given":"Jasmin","family":"Popara","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin III, Kardiologie, Angiologie und Intensivmedizin, Universita\u0308tsklinikum Schleswig-Holstein, Germany (M. Salem, J.P., D.F.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5660-7264","authenticated-orcid":true,"given":"Misumasa","family":"Sudo","sequence":"additional","affiliation":[{"name":"Med. Klinik II-Kardiologie, Universit\u00e4tsklinikum Bonn, Germany (A.S., M. Sudo)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9935-8293","authenticated-orcid":true,"given":"Martin","family":"Geyer","sequence":"additional","affiliation":[{"name":"Zentrum fu\u0308r Kardiologie-Kardiologie I, Universit\u00e4tsmedizin Mainz, Germany (A.R.T., M.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Vorpahl","sequence":"additional","affiliation":[{"name":"Helios Klinikum Siegburg, University of Witten\/Herdecke, Germany (M.V.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7561-075X","authenticated-orcid":true,"given":"Derk","family":"Frank","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin III, Kardiologie, Angiologie und Intensivmedizin, Universita\u0308tsklinikum Schleswig-Holstein, Germany (M. Salem, J.P., D.F.)."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg\/L\u00fcbeck\/Kiel (S. Blankenberg, H.R., D.F., M. Seiffert)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Potratz","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology\/Angiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr-University and University of Bielefeld, Germany (T.R., S. Bleiziffer, R.B.-L., M.P.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0799-7478","authenticated-orcid":true,"given":"Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Med. Clinic I, Cardiology and Angiology, University of Giessen und Marburg GmbH, Germany (W.K.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3940-9079","authenticated-orcid":true,"given":"Moritz","family":"Seiffert","sequence":"additional","affiliation":[{"name":"Department of Cardiology (D.G., C.K., A.G., A.N., S. Blankenberg, N.S., M. Seiffert), University Heart &amp; Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany."},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg\/L\u00fcbeck\/Kiel (S. Blankenberg, H.R., D.F., M. Seiffert)."},{"name":"BG University Hospital Bergmannsheil, Ruhr University Bochum, Germany (M. Seiffert)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.09.595"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx294"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV12I5A104"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.04.015"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2022.3399"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-19-00336"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.09.051"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.03.047"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28578"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2018.12.003"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV5I4A69"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.03.019"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v111.i09"},{"key":"e_1_3_3_17_2","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2021","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; 2021. Accessed September 7, 2024. https:\/\/www.r-project.org\/"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.121.010742"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.08.035"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.057856"},{"key":"e_1_3_3_21_2","first-page":"311","article-title":"Adoption of routine ultrasound guidance for femoral arterial access for cardiac catheterization.","volume":"28","author":"Soverow J","year":"2016","unstructured":"Soverow J, Oyama J, Lee MS. Adoption of routine ultrasound guidance for femoral arterial access for cardiac catheterization. J Invasive Cardiol. 2016;28:311\u2013314.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.014916"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2020.07.013"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2017.03.025"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.09.018"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.6515\/ACS.201809_34(5).20180524A"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2021.02.006"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.124.014771","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T16:26:32Z","timestamp":1756830392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.124.014771"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":26,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.124.014771"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.124.014771","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2024-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}