Key result
Hybrid perventricular delivery provides a preferred alternative to percutaneous TPVR for complicated anatomy <20 kg.
Why the study?
Percutaneous transcatheter pulmonary valve replacement can be challenging in select patients due to complicated anatomy or small patient size, particularly those weighing <20 kg.
Hybrid perventricular transcatheter pulmonary valve implantation offers an alternative approach for small children with repaired Tetralogy of Fallot where percutaneous access is challenging.
In select patients, transcatheter pulmonary valve replacement through a percutaneous approach can be challenging because of complicated anatomy or small patient size. In these patients, especially those weighing <20 kg, hybrid perventricular valve delivery may provide a preferred alternative approach. (Level of Difficulty: Intermediate.)
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Mejía et al. (2021) studied this question. Hybrid perventricular valve delivery provides a preferred alternative to percutaneous transcatheter pulmonary valve replacement in patients weighing <20 kg with complicated anatomy.
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