{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:54:37Z","timestamp":1782982477879,"version":"3.54.5"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,3,19]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">In recent years, self\u2010expanding technology to treat pulmonary regurgitation in the native right ventricular outflow tract became Food and Drug Administration approved in the United States and is now routinely used. The current practice for selection of patients who are candidates for these devices includes screening for \u201canatomic fit,\u201d performed by each of the manufacturing companies. Our study aims to validate the use of virtual reality (VR) as a tool for local physician\u2010led screening of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">This retrospective study from Children's Hospital Colorado included patients who underwent pulmonary valve replacement and had screening for a Harmony TPV or Alterra Prestent performed between September 2020 and January 2022. The data from the commercial companies\u2019 dedicated analysis for self\u2010expanding transcatheter pulmonary valve frames evaluation with perimeter analysis were collected. VR simulation was performed blinded by 2 congenital interventional cardiologists using Elucis VR software and an Oculus Quest 2 headset. Among the 27 evaluated cases, the use of a self\u2010expandable valve was recommended by companies\u2019 dedicated analysis in 23 cases (85.2%), by VR assessment in 26 cases (96.3), and finally implanted in 25 cases (92.6%). Regarding the level of agreement, both modalities (manufacturer and VR) were good at screening\u2010in patients who received a self\u2010expanding valve (100% versus 96.1%). When it came to screening\u2010out the patients, VR presented good capacity to accurately classify nonsuitable patients (50% versus 100%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Our institutional experience with VR transcatheter pulmonary valve implantation planning accurately predicted clinical outcomes. This paves the way for routine use of VR in patient selection for self\u2010expanding valve technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.033239","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T05:58:09Z","timestamp":1709877489000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Patient Screening for Self\u2010Expanding Percutaneous Pulmonary Valves Using Virtual Reality"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-8551","authenticated-orcid":false,"given":"Jenny E.","family":"Zablah","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Colorado Anschutz Medical Campus Heart Institute, Children\u2019s Hospital Colorado Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannie","family":"Than","sequence":"additional","affiliation":[{"name":"Modern Human Anatomy School University of Colorado Anschutz Medical Campus Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-5276","authenticated-orcid":false,"given":"Lorna P.","family":"Browne","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Colorado Anschutz Medical Campus Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9786-3651","authenticated-orcid":false,"given":"Salvador","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Colorado Anschutz Medical Campus Heart Institute, Children\u2019s Hospital Colorado Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-9334","authenticated-orcid":false,"given":"Gareth J.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Colorado Anschutz Medical Campus Heart Institute, Children\u2019s Hospital Colorado Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.03.108"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40746-020-00209-0"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2040622319857635"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2022.100452"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41205-022-00137-9"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2020.06.012"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.13021.1"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.24875\/RECICE.M22000322"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.123.033239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T08:20:49Z","timestamp":1715588449000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.123.033239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,3,19]]}},"alternative-id":["10.1161\/JAHA.123.033239"],"URL":"https:\/\/doi.org\/10.1161\/jaha.123.033239","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2023.10.24.23297501","asserted-by":"object"}]},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,19]]},"assertion":[{"value":"2023-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e033239"}}