Overview

• Published in JSCAI, the position statement defines a four-part framework covering patient selection, procedural technique, operator training benchmarks, and institutional infrastructure.
• The authors prescribe echocardiographic surveillance at 24 hours, one week, one month, three months, and six months after the procedure to detect and manage complications early.
• Suggested training thresholds and regional referral networks aim to ensure procedures occur at centers with neonatal resources and pediatric cardiac surgical backup.
• The guidance details risk mitigation for complications such as tricuspid valve injury, cardiac perforation, and late-onset vessel obstruction through careful planning and prompt intervention.
• SCAI urges contributions to national registries, local databases, and quality-improvement research to strengthen the evidence base and inform future device design.