{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:20:52Z","timestamp":1785788452210,"version":"3.56.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Self-expandable valves are emerging complements to balloon-expandable valves for transcatheter pulmonary valve replacement in dysfunctional right ventricular outflow tracts, though their safety and efficacy remain underexplored. We aim to compare patient characteristics and outcomes of self-expandable valves and balloon-expandable valves in transcatheter pulmonary valve replacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Baseline and early follow-up data were prospectively analyzed for 145 patients who underwent transcatheter pulmonary valve replacement with Edwards SAPIEN 3 (ES3) balloon-expandable valves or Venus-P self-expandable valves (January 2022\u2013December 2024). An independent adjudication expert analyzed and classified adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Cohort: 58.6% males, median weight of 65 kg, median age of 36.3 years; 64.1% of ES3, 35.9% of Venus-P. Tetralogy of Fallot was present in 55.2%, with native\/patched right ventricular outflow tracts in 41.9% of ES3 and 100% of Venus-P cases (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). Severe pulmonary regurgitation was found in 64.5% of ES3 and 100% of Venus-P (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). Median valve diameter was 26 mm (Q1\u2013Q3: 23\u201329) for ES3 and 36 mm (32\u201336) for Venus-P (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). All implantations were successful, with no significant difference in procedure or fluoroscopy times between groups. Postoperative median right ventricular outflow tract maximum velocity was 2.2 m\/s (1.9\u20132.6) for ES3 and 1.6 m\/s (1.1\u20131.8) for Venus-P (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). Procedural and vascular-access adverse events occurred in 14 patients (ES3: 9.7%, Venus-P: 9.6%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.992), including 8 moderate and 1 major (ES3: 5.4%, Venus-P: 7.7%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.582). New-onset ventricular arrhythmias occurred in 14 patients (ES3: 3.2%, Venus-P: 21.1%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001), including 5 classified as moderate adverse events, all in Venus-P (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.002). All arrhythmias resolved with short-term therapy; no permanent antiarrhythmics or ablations were needed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Self-expandable valves are effective for transcatheter pulmonary valve replacement but linked to higher transient arrhythmic adverse event rates than balloon-expandable valves in the early postoperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circinterventions.125.015325","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T10:00:18Z","timestamp":1763114418000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Early Outcomes of Self-Expandable Versus Balloon-Expandable Valves for Managing Dysfunctional Right Ventricular Outflow Tracts"],"prefix":"10.1161","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":true,"given":"Raymond N.","family":"Haddad","sequence":"first","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes - M3C (R.N.H., Q.R., G.A., S.C., J.R., E.V., L.G., E.F., E.B., J.P., C.B., S.H.), H\u00f4pitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France."},{"name":"Direction de la Recherche et de l\u2019Innovation M\u00e9dicale (DRIM), Marie Lannelongue Innovation Center (MALIC) (R.N.H., S.H.), H\u00f4pitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France."},{"name":"Facult\u00e9 de M\u00e9decine Kremlin-Bic\u00eatre, Universit\u00e9 Paris-Saclay, Le Kremlin-Bic\u00eatre, France (R.N.H., E.V., E.F., S.H.)."},{"name":"Universit\u00e9 Paris-Saclay, INSERM, UMR_S 999, Hypertension Pulmonaire: Physiopathologie and Innovation Th\u00e9rapeutique (HPPIT), AP-HP, H\u00f4pital Bic\u00eatre, H\u00f4pital Marie Lannelongue (Groupe Hospitalier Paris Saint Joseph), ERN-LUNG, Le Plessis-Robinson, France (R.N.H., E.V., E.F., S.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quentin","family":"Rouau","sequence":"additional","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes - M3C (R.N.H., Q.R., G.A., S.C., J.R., E.V., L.G., E.F., E.B., J.P., C.B., S.H.), H\u00f4pitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5325-1487","authenticated-orcid":true,"given":"Gr\u00e9goire","family":"Albenque","sequence":"additional","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes - M3C (R.N.H., Q.R., G.A., S.C., J.R., E.V., L.G., E.F., E.B., J.P., C.B., S.H.), H\u00f4pitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9956-9341","authenticated-orcid":true,"given":"Sarah","family":"Cohen","sequence":"additional","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes - M3C (R.N.H., Q.R., G.A., S.C., J.R., E.V., L.G., E.F., E.B., J.P., C.B., S.H.), H\u00f4pitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, 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