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Transcatheter pulmonary valve insertion, expanded use (beyond large conduits from the right ventricle to pulmonary artery), and future directions*

Published online by Cambridge University Press:  29 December 2014

Jeremy M. Ringewald  and
Elsa J. Suh
Jeremy M. Ringewald*
Affiliation:
St Joseph’s Children’s Hospital Tampa, Tampa, Florida, United States of America
Elsa J. Suh
Affiliation:
St Joseph’s Children’s Hospital Tampa, Tampa, Florida, United States of America
*
Correspondence to: Dr J. M. Ringewald, MD, 3003 W. Dr MLK Jr. BLVD, St Joseph’s Children’s Hospital, 33607 Tampa, Florida, United States of America. E-mail: [email protected]
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Abstract

Transcatheter pulmonary valve insertion is the most important advance in congenital interventional cardiology since atrial septal defect devices became commonly available 15 years ago. It has changed the way we look at a number of diverse diagnoses and changes how we plan, diagnose, operate, and follow-up patients. It has changed how we counsel families expecting a child that may benefit from it. Expanded use of the Melody® valve, outside its United States Food and Drug Administration approved indications, has helped numerous additional patients. The use of transcatheter pulmonary valve insertion in selected patients following surgical Gore-tex® bileaflet in valve right ventricular outflow tract reconstruction and those with a history of prior small homograft conduits will be discussed.

Keywords

Transcatheter pulmonary valveGore-tex® bileaflet valvemelody valve
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1095 - 1100
Copyright
© Cambridge University Press 2014 

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Footnotes

*

Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, United States of America, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

References

1.Bonhoeffer, P, Boudjemline, Y, Saliba, Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet 2000; 356: 1403–1405.CrossRefGoogle Scholar
2.Zahn, EM, Hellenbrand, WE, Lock, JE, McElhinney, DB. Implantation of the Melody transcatheter pulmonary valve in patients with dysfunctional right ventricular outflow tract conduits: early results from the U.S. clinical trial. J Am Coll Cardiol 2009; 54: 1722–1729.CrossRefGoogle ScholarPubMed
3.McElhinney, DB, Hellenbrand, WE, Zahn, EM, et al. Short- and medium-term outcomes after transcatheter pulmonary valve placement in the expanded multicenter US melody valve trial. Circulation 2010; 122: 507–516.CrossRefGoogle Scholar
4.O’Laughlin, MP, Slack, MC, Grifka, RG, Perry, SB, Lock, JE, Mullins, CE. Implantation and intermediate-term follow-up of stents in congenital heart disease. Circulation 1993; 88: 605–614.CrossRefGoogle ScholarPubMed
5.Peng, LF, McElhinney, DB, Nugent, AW, et al. Endovascular stenting of obstructed right ventricle-to-pulmonary artery conduits: a 15-year experience. Circulation 2006; 113: 2598–2605.CrossRefGoogle Scholar
6.Momenah, TS, El Oakley, R, Al Najashi, K, Khoshhal, S, Al Qethamy, H, Bonhoeffer, P. Extended application of percutaneous pulmonary valve implantation. J Am Coll Cardiol 2009; 53: 1859–1863.CrossRefGoogle ScholarPubMed
7.Boudjemline, Y, Brugada, G, Van-Aerschot, I, et al. Outcomes and safety of transcatheter pulmonary valve replacement in patients with large patched right ventricular outflow tracts. Arch Cardiovasc Dis 2012; 105: 404–413.CrossRefGoogle ScholarPubMed
8.Gillespie, MJ, Dori, Y, Harris, MA, Sathanandam, S, Glatz, AC, Rome, JJ. Bilateral branch pulmonary artery melody valve implantation for treatment of complex right ventricular outflow tract dysfunction in a high-risk patient. Circ Cardiovasc Interv 2011; 4: e21–e23.CrossRefGoogle Scholar
9.Gillespie, MJ, Rome, JJ, Levi, DS, et al. Melody valve implant within failed bioprosthetic valves in the pulmonary position: a multicenter experience. Circ Cardiovasc Interv 2012; 5: 862–870.CrossRefGoogle ScholarPubMed
10.Cheatham, SL, Holzer, RJ, Chisolm, JL, Cheatham, JP. The Medtronic Melody transcatheter pulmonary valve implanted at 24-mm diameter – it works. Catheter Cardiovasc Interv 2013; 182: 816–823.CrossRefGoogle Scholar
11.McElhinney, DB, Cheatham, JP, Jones, TK, et al. Stent fracture, valve dysfunction, and right ventricular outflow tract reintervention after transcatheter pulmonary valve implantation: patient-related and procedural risk factors in the US Melody Valve Trial. Circ Cardiovasc Interv 2011; 4: 602–614.CrossRefGoogle ScholarPubMed
12.Buber, J, Bergersen, L, Lock, JE, et al. Bloodstream infections occurring in patients with percutaneously implanted bioprosthetic pulmonary valve: a single-center experience. Circ Cardiovasc Interv 2013; 6: 301–310.CrossRefGoogle ScholarPubMed
13.McElhinney, DB, Benson, LN, Eicken, A, Kreutzer, J, Padera, RF, Zahn, EM. Infective endocarditis after transcatheter pulmonary valve replacement using the Melody valve: combined results of 3 prospective North American and European studies. Circ Cardiovasc Interv 2013; 6: 292–300.CrossRefGoogle ScholarPubMed
14.Quintessenza, JA, Jacobs, JP, Morell, VO, Giroud, JM, Boucek, RJ. Initial experience with a bicuspid polytetrafluoroethylene pulmonary valve in 41 children and adults: a new option for right ventricular outflow tract reconstruction. Ann Thor Surg 2005; 79: 924–931.CrossRefGoogle ScholarPubMed
15.Carr, M, Bergersen, L, Marshall, AC, et al. Bare metal stenting for obstructed small diameter homograft conduits in the right ventricular outflow tract. Catheter Cardiovasc Interv 2013; 81: E44–E52.CrossRefGoogle ScholarPubMed
16.Berman, DP, McElhinney, DB, Vincent, JA, Hellenbrand, WE, Zahn, EM. Feasibility and short-term outcomes of percutaneous transcatheter pulmonary valve replacement in small (<30 kg) children with dysfunctional right ventricular outflow tract conduits. Circ Cardiovasc Interv 2014; 7: 142–148.CrossRefGoogle ScholarPubMed
17.Hasan, BS, McElhinney, DB, Brown, DW, et al. Short-term performance of the transcatheter Melody valve in high-pressure hemodynamic environments in the pulmonary and systemic circulations. Circ Cardiovasc Interv 2011; 4: 615–620.CrossRefGoogle ScholarPubMed