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Updated: Oct 6, 2025

Four-Dimensional Computed Tomography-Guided Valve Sizing for Transcatheter Pulmonary Valve Replacement
Published on: January 20, 2022
Isaac Pascual1, Daniel Hernández-Vaquero1, Alberto Alperi2
1Heart Area, Hospital Universitario Central de Asturias, Oviedo, Spain; Research Institute of the Principado de Asturias, Oviedo, Spain; Department of Medicine, Faculty of Medicine, University of Oviedo, Oviedo, Spain.
The novel cusp-overlapping projection (COP) technique for self-expanding transcatheter aortic valve replacement (SE THV) significantly reduces permanent pacemaker implantation (PPMI) rates. This improved implantation depth (ID) with the COP technique offers a safer alternative to the classical method.
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