{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:58:33Z","timestamp":1785502713360,"version":"3.56.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to document the progression of tricuspid regurgitation (TR) following percutaneous patent ductus arteriosus (PDA) closure in preterm neonates weighing &lt;2 kg following an institutional change in procedural technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Before June 1, 2021, the tricuspid valve was crossed with a glide catheter and glide wire. As of June 1, the tricuspid valve was crossed with a diagnostic catheter, microcatheter, and floppy 0.014\u201d wire. This retrospective single-center chart review of the progression of TR in ex-preterm infants weighing &lt;2 kg following percutaneous PDA closure included cases from January 2019 to December 2022. Echocardiograms completed prior to and following the procedure were graded, and a comparison was made between the progression of TR in the old technique group (control) and the new technique group (treatment).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 58 patients who met the criteria during the study period. Median weight was 1.2 kg in the control group and 1.29 kg in the treatment group. The rate of TR progression was 32% (10\/31) in the control group and 7% (2\/27) in the treatment group. Both cases in the treatment group were progression from none\/trivial to mild TR. Of the 10 cases that demonstrated progression in the control group, 4 progressed from none\/trivial to mild and 6 progressed from none\/trivial to moderate (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.026).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite the small sample size, this change in technique does demonstrate less progression in TR. Further studies are warranted to assess the longitudinal natural history of TR caused by trauma during neonatal duct closure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/apc.apc_297_25","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:00:38Z","timestamp":1785495638000},"page":"374-378","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Minimizing tricuspid valve damage during neonatal patent ductus arteriosus closure by implementing a change in procedural technique"],"prefix":"10.4103","volume":"19","author":[{"given":"Christopher","family":"Iskander","sequence":"first","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Kucuk","sequence":"additional","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador Rodriguez","family":"Franco","sequence":"additional","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Leahy","sequence":"additional","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny E.","family":"Zablah","sequence":"additional","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth John","family":"Morgan","sequence":"additional","affiliation":[{"name":"The Heart Institute, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, School of Medicine, Anschutz Medical Campus, CO, USA"},{"name":"Department of Cardiology, University of Colorado Hospital, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"R1-20260731","first-page":"4716997","article-title":"Bedside transcatheter patent ductus arteriosus device occlusion in an extremely low birth weight neonate: A novel approach in a high-risk population","volume":"2021","author":"Pouldar","year":"2021","journal-title":"Case Rep Anesthesiol"},{"key":"R2-20260731","doi-asserted-by":"crossref","first-page":"370","DOI":"10.12688\/f1000research.13021.1","article-title":"Recent advances in cardiac catheterization for congenital heart disease","volume":"7","author":"Kang","year":"2018","journal-title":"F1000Res"},{"key":"R4-20260731","first-page":"1266","article-title":"Amplatzer piccolo occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients \u2265700 grams","volume":"96","author":"Sathanandam","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"R5-20260731","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1111\/chd.12712","article-title":"Overview of transcatheter patent ductus arteriosus closure in preterm infants","volume":"14","author":"Almeida-Jones","year":"2019","journal-title":"Congenit Heart Dis"},{"key":"R6-20260731","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.acvd.2021.06.002","article-title":"Transcatheter patent arterial duct closure in premature infants: A new technique to ease access to the patent arterial duct, with particular benefit for the tricuspid valve","volume":"114","author":"Meot","year":"2021","journal-title":"Arch Cardiovasc Dis"},{"key":"R7-20260731","doi-asserted-by":"crossref","first-page":"1292623","DOI":"10.3389\/fped.2023.1292623","article-title":"Transcatheter closure of patent ductus arteriosus in preterm infants: Results from a single-center cohort","volume":"11","author":"Honnorat","year":"2023","journal-title":"Front Pediatr"},{"key":"R8-20260731","doi-asserted-by":"crossref","first-page":"476","DOI":"10.3390\/jcdd10120476","article-title":"The transcatheter closure of patent ductus arteriosus in extremely low-birth-weight infants: Technique and results","volume":"10","author":"Baruteau","year":"2023","journal-title":"J Cardiovasc Dev Dis"},{"key":"R9-20260731","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijcard.2020.03.040","article-title":"Improved ventilation in premature babies after transcatheter versus surgical closure of patent ductus arteriosus","volume":"311","author":"Regan","year":"2020","journal-title":"Int J Cardiol"},{"key":"R10-20260731","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.116.003961","article-title":"Mother-daughter-granddaughter double guideliner technique for delivering stents past multiple extreme angulations","volume":"9","author":"Finn","year":"2016","journal-title":"Circ Cardiovasc Interv"},{"key":"R11-20260731","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.31083\/j.rcm2204122","article-title":"Etiology, epidemiology, pathophysiology and management of tricuspid regurgitation: An overview","volume":"22","author":"Condello","year":"2021","journal-title":"Rev Cardiovasc Med"},{"key":"R12-20260731","doi-asserted-by":"crossref","first-page":"e005043","DOI":"10.1161\/CIRCINTERVENTIONS.117.005043","article-title":"Mechanism and implications of the tricuspid regurgitation: From the pathophysiology to the current and future therapeutic options","volume":"10","author":"Mangieri","year":"2017","journal-title":"Circ Cardiovasc Interv"}],"container-title":["Annals of Pediatric 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