Key result
Transjugular Alterra Adaptive Prestent implantation succeeds in severe pulmonary regurgitation despite bilateral femoral vein occlusion.
Demonstrates the feasibility of Alterra Adaptive Prestent implantation via the right jugular vein in a patient with bilateral femoral vein occlusion.
May enable transjugular Alterra implantation when femoral access is occluded; hypothesis-generating and requires validation in larger studies.
We report the case of a 15-year-old male patient with severe pulmonary regurgitation who successfully underwent Alterra Adaptive Prestent implantation through the right jugular vein because of bilateral femoral vein occlusion.
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Rebonato et al. (2026) studied this question. Alterra Adaptive Prestent was successfully implanted via the transjugular approach in a 15-year-old male with severe pulmonary regurgitation due to bilateral femoral vein occlusion.
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