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Holzer RJ, Bergersen L, Thomson J, Aboulhosn J, Aggarwal V, Akagi T, Alwi M, Armstrong AK, Bacha E, Benson L, Bökenkamp R, Carminati M, Dalvi B, DiNardo J, Fagan T, Fetterly K, Ing FF, Kenny D, Kim D, Kish E, O'Byrne M, O'Donnell C, Pan X, Paolillo J, Pedra C, Peirone A, Singh HS, Søndergaard L, Hijazi ZM. PICS/AEPC/APPCS/CSANZ/SCAI/SOLACI: Expert Consensus Statement on Cardiac Catheterization for Pediatric Patients and Adults With Congenital Heart Disease. JACC Cardiovasc Interv 2024; 17:115-216. [PMID: 38099915 DOI: 10.1016/j.jcin.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Affiliation(s)
- Ralf J Holzer
- UC Davis Children's Hospital, Sacramento, California.
| | | | - John Thomson
- Johns Hopkins Children's Center, Baltimore, Maryland
| | - Jamil Aboulhosn
- UCLA Adult Congenital Heart Disease Center, Los Angeles, California
| | - Varun Aggarwal
- University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota
| | | | - Mazeni Alwi
- Institut Jantung Negara, Kuala Lumpur, Malaysia
| | | | - Emile Bacha
- NewYork-Presbyterian Hospital, New York, New York
| | - Lee Benson
- Hospital for Sick Children, Toronto, Ontario, Canada
| | | | | | | | | | - Thomas Fagan
- Children's Hospital of Michigan, Detroit, Michigan
| | | | - Frank F Ing
- UC Davis Children's Hospital, Sacramento, California
| | | | - Dennis Kim
- Children's Healthcare of Atlanta, Atlanta, Georgia
| | - Emily Kish
- Rainbow Babies Children's Hospital, Cleveland, Ohio
| | - Michael O'Byrne
- Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | | | - Xiangbin Pan
- Cardiovascular Institute, Fu Wai, Beijing, China
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2
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Carr K, Nijres BM, Windsor JJ, Nakamura Y, Karimi M, Ricci M, Aldoss O. Single‐Center Experience of Hybrid Pulmonary Valve Replacement Using Left Anterior Thoracotomy With Pulmonary Artery Plication in Patients With Large Right Ventricular Outflow Tract. J Am Heart Assoc 2022; 11:e026517. [PMID: 35861815 PMCID: PMC9707832 DOI: 10.1161/jaha.122.026517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background
Until recently, a large right ventricle outflow tract interfered with the feasibility of standard transcatheter pulmonary valve replacement (PVR). We are describing our experience using a hybrid approach for PVR using a left anterior thoracotomy approach to allow for plication of the main pulmonary artery followed by a transcatheter PVR using a Sapien S3 valve.
Methods and Results
This is a single‐center, retrospective review of patients who were evaluated to be appropriate for a hybrid PVR approach. The patients' demographics, procedure details, and follow‐up data were collected. Between May 2018 and April 2021, a total of 11 patients presented for hybrid transcatheter PVR. The median age and weight were 24 years (interquartile range, 19–43 years) and 81.8 kg (interquartile range, 69–91 kg), respectively. Nine out of 11 patients received a transcatheter PVR after main pulmonary artery plication. There were no procedurally related deaths. One major complication was encountered in which the valve was malpositioned requiring successful surgical PVR. Minor complications included acute kidney injury (n=1) and a broken rib (n=1). The median length of stay was 4 days (interquartile range, 2–4 days), with median follow‐up of 7 months (interquartile range, 3–18 months). A well‐functioning pulmonary valve was observed in all patients at the last follow‐up.
Conclusions
A hybrid approach using left anterior thoracotomy with pulmonary artery plication followed by transcatheter Sapien S3 PVR provides a less‐invasive option for patients with an enlarged right ventricular outflow tract. Preliminary results demonstrated this to be a safe option with good short‐term outcomes.
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Affiliation(s)
- Kaitlin Carr
- Division of Pediatric Cardiology University of Iowa Stead Family Children’s Hospital Iowa City IA
| | - Bassel Mohmmad Nijres
- Division of Pediatric Cardiology University of Iowa Stead Family Children’s Hospital Iowa City IA
| | - Jimmy J. Windsor
- Division of Pediatric Anesthesia, Department of Anesthesia University of Iowa Iowa City IA
| | - Yuki Nakamura
- Department of Cardiothoracic Surgery University of Iowa Iowa City IA
| | - Mohsen Karimi
- Department of Cardiothoracic Surgery University of Iowa Iowa City IA
| | - Marco Ricci
- Department of Cardiothoracic Surgery University of Iowa Iowa City IA
| | - Osamah Aldoss
- Division of Pediatric Cardiology University of Iowa Stead Family Children’s Hospital Iowa City IA
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3
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Lugones I, Barbosa JD, Schvartz G, Ackerman J, Laudani V, Vitorino AM, Lucini V, Garay F. A Hybrid Strategy for Geometrical Reshaping of the Main Pulmonary Artery and Transcatheter Pulmonary Valve Replacement. World J Pediatr Congenit Heart Surg 2021; 12:643-648. [PMID: 34597212 DOI: 10.1177/21501351211024994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Transcatheter pulmonary valve replacement has become an attractive alternative to surgical approach in patients with dysfunctional right ventricular outflow tract. However, in certain cases, an unfavorable anatomy might complicate optimal valve deployment and stability. Several techniques have been described to reshape the landing zone and allow proper implantation of the transcatheter valve. Among them, the hybrid approach has gained attention as an interesting method for off-pump pulmonary valve replacement in patients with dilated right ventricular outflow tract. But to date, there is no standardized method to resize and reshape the landing zone for the stented valve. Here, we describe a reproducible method based on simple geometric rules to allow adequate remodeling of the main pulmonary artery to the desired dimensions in a single attempt, followed by perventricular implantation of a Venus P-valve.
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Affiliation(s)
- Ignacio Lugones
- Departamento de Cirugía Cardiovascular, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Jesús Damsky Barbosa
- Departamento de Cardiología, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Guillermo Schvartz
- Departamento de Cardiología, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Judith Ackerman
- Departamento de Cardiología, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Verónica Laudani
- Departamento de Cirugía Cardiovascular, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Adelia Marques Vitorino
- Departamento de Cardiología, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Victorio Lucini
- Departamento de Cardiología, Hospital General de Niños "Dr. Pedro de Elizalde," Buenos Aires, Argentina
| | - Francisco Garay
- Departamento de Cardiología Pediátrica y Enfermedades Respiratorias, Hospital Clínico de la Universidad Católica de Chile, Santiago, Chile
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4
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Serfas JD, Turek J, Haney J, Krasuski RA, Fleming GA. Hybrid transcatheter pulmonary valve replacement with a SAPIEN S3 valve after pulmonary artery banding via left lateral thoracotomy. Catheter Cardiovasc Interv 2019; 95:E78-E83. [DOI: 10.1002/ccd.28591] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 10/06/2019] [Accepted: 10/26/2019] [Indexed: 11/06/2022]
Affiliation(s)
- John D. Serfas
- Division of Cardiovascular MedicineDuke University Medical Center Durham North Carolina
| | - Joseph Turek
- Division of Cardiovascular and Thoracic SurgeryDuke University Medical Center Durham North Carolina
| | - John Haney
- Division of Cardiovascular and Thoracic SurgeryDuke University Medical Center Durham North Carolina
| | - Richard A. Krasuski
- Division of Cardiovascular MedicineDuke University Medical Center Durham North Carolina
| | - Gregory A. Fleming
- Division of Pediatric Cardiology, Department of PediatricsDuke University Medical Center Durham North Carolina
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Abstract
The field of pediatric and adult congenital cardiac catheterization has evolved rapidly in recent years. This review will focus on some of the newer endovascular technological and management strategies now being applied in the pediatric interventional laboratory. Emerging imaging techniques such as three-dimensional (3D) rotational angiography, multi-modal image fusion, 3D printing, and holographic imaging have the potential to enhance our understanding of complex congenital heart lesions for diagnostic or interventional purposes. While fluoroscopy and standard angiography remain procedural cornerstones, improved equipment design has allowed for effective radiation exposure reduction strategies. Innovations in device design and implantation techniques have enabled the application of percutaneous therapies in a wider range of patients, especially those with prohibitive surgical risk. For example, there is growing experience in transcatheter duct occlusion in symptomatic low-weight or premature infants and stent implantation into the right ventricular outflow tract or arterial duct in cyanotic neonates with duct-dependent pulmonary circulations. The application of percutaneous pulmonary valve implantation has been extended to a broader patient population with dysfunctional ‘native’ right ventricular outflow tracts and has spurred the development of novel techniques and devices to solve associated anatomic challenges. Finally, hybrid strategies, combining cardiosurgical and interventional approaches, have enhanced our capabilities to provide care for those with the most complex of lesions while optimizing efficacy and safety.
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Affiliation(s)
- Sok-Leng Kang
- Department of Pediatrics, Division of Cardiology, The Hospital for Sick Children, The Labatt Family Heart Center, The University of Toronto School of Medicine, Toronto, Canada.,Department of Pediatric Cardiology, Bristol Royal Hospital for Children, Bristol, BS2 OJJ, UK
| | - Lee Benson
- Department of Pediatrics, Division of Cardiology, The Hospital for Sick Children, The Labatt Family Heart Center, The University of Toronto School of Medicine, Toronto, Canada
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Trezzi M, Bandisode VM, Kavarana MN, Bradley SM. Surgical technique for placement of the Melody valve in a dilated right ventricular outflow tract. J Thorac Cardiovasc Surg 2017; 155:739-741. [PMID: 28890083 DOI: 10.1016/j.jtcvs.2017.07.082] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Revised: 07/03/2017] [Accepted: 07/21/2017] [Indexed: 10/19/2022]
Affiliation(s)
- Matteo Trezzi
- Division of Pediatric Cardiac Surgery, Medical University of South Carolina, Charleston, SC
| | - Varsha M Bandisode
- Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC
| | - Minoo N Kavarana
- Division of Pediatric Cardiac Surgery, Medical University of South Carolina, Charleston, SC
| | - Scott M Bradley
- Division of Pediatric Cardiac Surgery, Medical University of South Carolina, Charleston, SC.
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7
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Gupta A, Amin Z. Popular Hybrid Congenital Heart Procedures without Cardiopulmonary Bypass. Front Surg 2017; 4:9. [PMID: 28321396 PMCID: PMC5337498 DOI: 10.3389/fsurg.2017.00009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 01/26/2017] [Indexed: 12/16/2022] Open
Abstract
As surgical and catheter interventions advance, patients with congenital heart disease are now offered alternative treatment options that cater to their individual needs. Furthermore, collaboration between interventional cardiologists and cardiac surgeons have led to the development of hybrid procedures, using the best techniques of each respective field to treat these complex cardiac entities from initial treatment in the pediatric patient to repeat intervention in the adult. We present a review of the increased popularity and trend in hybrid procedures in congenital heart disease without the use of cardiopulmonary bypass.
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Affiliation(s)
- Aamisha Gupta
- Division of Pediatric Cardiology, Children's Hospital of Georgia, Augusta University , Augusta, GA , USA
| | - Zahid Amin
- Division of Pediatric Cardiology, Children's Hospital of Georgia, Augusta University , Augusta, GA , USA
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8
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McRae ME, Coleman B, Atz TW, Kelechi TJ. Patient outcomes after transcatheter and surgical pulmonary valve replacement for pulmonary regurgitation in patients with repaired tetralogy of Fallot: A quasi-meta-analysis. Eur J Cardiovasc Nurs 2017; 16:539-553. [PMID: 28756698 DOI: 10.1177/1474515117696384] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Individuals with repaired tetralogy of Fallot develop pulmonary regurgitation that may cause symptoms (dyspnea, chest pain, palpitations, fatigue, presyncope, and syncope), impair functional capacity, and may affect health-related quality of life. Surgical pulmonary valve replacement is the gold standard of treatment although transcatheter pulmonary valve replacement is becoming more common. Patients want to know whether less invasive options are as good. AIMS This analysis aimed to examine the differences in surgical versus transcatheter pulmonary valve replacement effects in terms of physiological/biological variables, symptoms, functional status and health-related quality of life. METHODS This quasi-meta-analysis included 85 surgical and 47 transcatheter pulmonary valve replacement studies published between 1995-2016. RESULTS In terms of physiological/biological variables, both surgical and transcatheter pulmonary valve replacement improved pulmonary regurgitation and systolic and diastolic right ventricular volume indices but not heart function. In the left heart, only surgical pulmonary valve replacement improved heart function. Only transcatheter pulmonary valve replacement improved left ventricular end-diastolic indices and neither improved endsystolic indices. Only surgery has been demonstrated to decrease QRS duration but there is little evidence of arrhythmia reduction. Symptom change is poorly documented. Functional class improves but exercise capacity generally does not. Some aspects of health-related quality of life improve with surgery and in one small transcatheter pulmonary valve replacement study. CONCLUSION Transcatheter and surgical pulmonary valve replacement compare favorably for heart remodeling. Exercise capacity does not change with either technique. Health-related quality of life improves after surgical pulmonary valve replacement. There are numerous gaps in documentation of changes in arrhythmias and symptoms.
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Affiliation(s)
- Marion E McRae
- 1 Medical University of South Carolina, USA.,2 Guerin Family Congenital Heart Program, Cedars-Sinai Medical Center, USA.,3 David Geffen School of Medicine, University of California at Los Angeles
| | - Bernice Coleman
- 4 Nursing Research Department, Cedars-Sinai Medical Center, USA
| | - Teresa W Atz
- 5 College of Medicine, Medical University of South Carolina, USA
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9
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Sosnowski C, Matella T, Fogg L, Ilbawi M, Nagaraj H, Kavinsky C, Wolf AR, Diab K, Caputo M, Kenny D. Hybrid pulmonary artery plication followed by transcatheter pulmonary valve replacement: Comparison with surgical PVR. Catheter Cardiovasc Interv 2016; 88:804-810. [DOI: 10.1002/ccd.26620] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 05/04/2016] [Accepted: 05/14/2016] [Indexed: 11/09/2022]
Affiliation(s)
- Cyndi Sosnowski
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | - Thomas Matella
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | - Louis Fogg
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | - Michel Ilbawi
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | | | - Clifford Kavinsky
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | - Andrew R Wolf
- Department of Cardiology; Our Lady's Children's Hospital; Dublin Ireland
| | - Karim Diab
- Rush Center for Congenital Heart Disease; Rush University Medical Center; Chicago Illinois
| | - Massimo Caputo
- Bristol Heart Institute; Bristol Royal Infirmary; Bristol UK
| | - Damien Kenny
- Department of Cardiology; Our Lady's Children's Hospital; Dublin Ireland
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10
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Phillips ABM, Nevin P, Shah A, Olshove V, Garg R, Zahn EM. Development of a novel hybrid strategy for transcatheter pulmonary valve placement in patients following transannular patch repair of tetralogy of fallot. Catheter Cardiovasc Interv 2015; 87:403-10. [DOI: 10.1002/ccd.26315] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 08/11/2015] [Accepted: 10/09/2015] [Indexed: 11/08/2022]
Affiliation(s)
- Alistair B. M. Phillips
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
| | - Phillip Nevin
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
| | - Avni Shah
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
| | - Vincent Olshove
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
| | - Ruchira Garg
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
| | - Evan M. Zahn
- The Guerin Family Congenital Heart Program, Cedars Sinai Medical Center; Los Angeles California
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11
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Porras D, Gurvitz M, Marshall AC, Emani SM. Hybrid Approach for Off-Pump Pulmonary Valve Replacement in Patients With a Dilated Right Ventricular Outflow Tract. Ann Thorac Surg 2015; 100:e99-101. [DOI: 10.1016/j.athoracsur.2015.02.124] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2014] [Revised: 01/21/2015] [Accepted: 02/02/2015] [Indexed: 12/31/2022]
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12
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Suleiman T, Kavinsky CJ, Skerritt C, Kenny D, Ilbawi MN, Caputo M. Recent Development in Pulmonary Valve Replacement after Tetralogy of Fallot Repair: The Emergence of Hybrid Approaches. Front Surg 2015; 2:22. [PMID: 26082929 PMCID: PMC4451578 DOI: 10.3389/fsurg.2015.00022] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 05/18/2015] [Indexed: 11/13/2022] Open
Abstract
An increasing number of patients with tetralogy of Fallot require repeat surgical intervention for pulmonary valve replacement secondary to pulmonary regurgitation. Catheter-based interventions have emerged as an attractive alternative to surgery in this patient population but it is limited by patient size or the anatomy of the right ventricular outflow tract. Hybrid approaches involving both cardiac interventionists and surgeons are being developed to overcome these limitations. The purpose of this review is to highlight the recent advances in the hybrid field of pulmonary valve replacement, summarizing the advantages and disadvantages of the “traditional” surgical and the new catheter-based techniques and discuss the direction future research should take to determine the optimal management for individual patients.
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Affiliation(s)
| | | | | | - Damien Kenny
- Rush University Medical Center , Chicago, IL , USA
| | | | - Massimo Caputo
- Rush University Medical Center , Chicago, IL , USA ; Bristol Royal Hospital for Children, University of Bristol , Bristol , UK ; Bristol Heart Institute, University of Bristol , Bristol , UK
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13
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Leventhal A, Shah A, Osten M, Benson L, Horlick E. Transcatheter valve-in-valve therapy: What does the pediatric cardiologist need to know? PROGRESS IN PEDIATRIC CARDIOLOGY 2014. [DOI: 10.1016/j.ppedcard.2014.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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