{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:11:19Z","timestamp":1787170279532,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,12,11]],"date-time":"2005-12-11T00:00:00Z","timestamp":1134259200000},"content-version":"vor","delay-in-days":5246,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet. Cardiovasc. Diagn."],"published-print":{"date-parts":[[1991,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We have performed 50 blade and balloon atrial septostomies in 46 patients with diagnoses of transposition of the great arteries\u201032 patients; mitral atresia or stenosis\u201010 patients; total anomalous pulmonary venous drainage\u20102 patients; tricuspid atresia\u20101 patient; and pulmonary valve atresia with hypoplastic right ventricle\u20101 patient. The patients' age ranged from 1 day to 72 months (median=8 months) and weights ranged from 2.7 to 14.5 kg. In patients with transposition the systemic saturation increased from an average of 62% to 74.6% (\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.001) and the inter\u2010atrial mean pressure gradient was reduced from 7.74 \u00b1 5.3 to 1.4 \u00b1 2.04 mm Hg. Patients with mitral atresia had no significant increase in systemic arterial saturation but a significant decrease in the mean inter\u2010atrial gradient from 19.6 \u00b1 12.4 to 3.8 \u00b1 5.3 mm Hg. In three patients the blade septostomy was unsuccessful for technical reasons and the condition of the patient. Complications included one death due to atrial laceration, blood loss requiring transfusion in 5 patients, transient CVA in one patient, and failure of the blade to close in one patient. We have found the palliative use of the blade catheter in conjunction with balloon atrial septostomy to be an effective and safe procedure.\n                  <\/jats:p>","DOI":"10.1002\/ccd.1810230406","type":"journal-article","created":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T17:06:12Z","timestamp":1172768772000},"page":"257-262","source":"Crossref","is-referenced-by-count":22,"title":["Blade atrial septostomy: Experience with the first 50 procedures"],"prefix":"10.1002","volume":"23","author":[{"given":"M. A. Ali","family":"Khan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Timothy","family":"Bricker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles E.","family":"Mullins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad Al","family":"Yousef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Nihill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A.","family":"Vargo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,12,11]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810010210"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.58.4.600"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.66.2.258"},{"key":"e_1_2_1_5_2","unstructured":"Ali KhanMA:Advances in cardiac catheterization: diagnosis and therapeutics in infants and children. InFagihMR(ed): \u201eHeart Disease in Neonates and Children.\u201d\ufe011986 pp73\u201384."},{"key":"e_1_2_1_6_2","first-page":"38","article-title":"Atrioseptostomy with blade catheter. Initial experience in 12 patients","volume":"38","author":"Herraiz JI","year":"1985","journal-title":"Rev Esp Cardiol"},{"issue":"32","key":"e_1_2_1_7_2","first-page":"227","article-title":"Results and perspective of atrial septostomy using a balloon and a blade catheter","volume":"29","author":"Herriaz JI","year":"1988","journal-title":"An Esp Pediatr"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90904-5"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90678-1"},{"key":"e_1_2_1_10_2","first-page":"637","article-title":"Blade and balloon atrial septostomy is effective palliation for terminal cor pulmonale","volume":"60","author":"Nihill MR","year":"1987","journal-title":"Am J Cardiol"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810100405"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90687-9"},{"issue":"2","key":"e_1_2_1_13_2","first-page":"117A","article-title":"Blade and balloon atrial septostomy after transseptal atrial puncture","volume":"7","author":"Vick GW","year":"1986","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90288-2"},{"key":"e_1_2_1_15_2","first-page":"233","volume-title":"Perspective in Paediatric Cardiology","author":"Park SC","year":"1988"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.61.1.123"},{"key":"e_1_2_1_17_2","first-page":"70","article-title":"Palliative procedure of transposition of the great arteries","volume":"33","author":"Rashkind WJ","year":"1971","journal-title":"Br Heart J [Suppl]"},{"key":"e_1_2_1_18_2","first-page":"232","volume-title":"Tricuspid Atresia","author":"Rao PS","year":"1982"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.35.7.752"}],"container-title":["Catheterization and Cardiovascular Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.1810230406","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.1810230406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:48:42Z","timestamp":1698029322000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.1810230406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,8]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1991,8]]}},"alternative-id":["10.1002\/ccd.1810230406"],"URL":"https:\/\/doi.org\/10.1002\/ccd.1810230406","archive":["Portico"],"relation":{},"ISSN":["0098-6569","1097-0304"],"issn-type":[{"value":"0098-6569","type":"print"},{"value":"1097-0304","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,8]]}}}