{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T07:42:13Z","timestamp":1700034133196},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,6,8]],"date-time":"2006-06-08T00:00:00Z","timestamp":1149724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Objectives:<\/jats:styled-content> Our purpose was to investigate the diagnostic reliability of multi\u2010detector computed tomography (MDCT) in assessing in\u2010stent stenosis compared to digital angiography (DA) in small children. <jats:styled-content>Background:<\/jats:styled-content> Little is known about the feasibility of using MDCT to assess stents placed to treat children with congenital heart disease (CHD). <jats:styled-content>Methods:<\/jats:styled-content> Twenty\u2010two children (median age [range], 2\u00be [\u00bd to 12] years) with 42 transcatheter placed stents (median diameter: 7.2 [3.4\u201316.3] mm) in the pulmonary arteries (<jats:italic>n<\/jats:italic> = 36), aorta (2), PDA (1), and SVC (3) underwent both MDCT and DA due to suspected hemodynamic problems. <jats:styled-content>Results:<\/jats:styled-content> Independent \u201cblinded\u201d observers were able to measure stent and minimal luminal diameters in 115 out of 124 (93%) stent segments on MDCT and DA. The interobserver variability was low (mean difference: 0.5, SD 0.8 mm) with high correlation (<jats:italic>r<\/jats:italic> = 0.97; <jats:italic>P<\/jats:italic> &lt; .0001). The percent stenosis by MDCT correlated well with DA (<jats:italic>r<\/jats:italic> = 0.89, <jats:italic>P<\/jats:italic> &lt; .0001; mean error 2.7, SD 10.4%). For all grades of stenosis, the sensitivity and specificity for MDCT were 58% and 97%, respectively. At a threshold of \u223c\u226520% stenosis sensitivity became &gt;98%. All stent associated complications [fracture (4), vascular narrowings (11)] were diagnosed by MDCT. As the stent diameter increased, there was significantly reduced variability between MDCT and DA for in\u2010stent stenosis (<jats:italic>P<\/jats:italic> &lt; .0001). <jats:styled-content>Conclusion:<\/jats:styled-content> In small children, MDCT is a feasible and promising method for assessing stent associated complications in the treatment of CHD. Cardiac surgeons and interventional cardiologists might rely on this imaging modality to plan specific interventions more precisely and to assess the results upon follow up. \u00a9 2006 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.20760","type":"journal-article","created":{"date-parts":[[2006,6,8]],"date-time":"2006-06-08T23:30:53Z","timestamp":1149809453000},"page":"11-20","source":"Crossref","is-referenced-by-count":16,"title":["Assessment of in\u2010stent stenosis in small children with congenital heart disease using multi\u2010detector computed tomography: A validation study"],"prefix":"10.1002","volume":"68","author":[{"given":"Joachim G.","family":"Eichhorn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick R.","family":"Long","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon L.","family":"Hill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"O'Donovan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne L.","family":"Chisolm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soledad A.","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Cheatham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,6,8]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(200006)50:2<207::AID-CCD14>3.0.CO;2-U"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.10.051"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01406-1"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.18.1872"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.5.1791319"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2293020999"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-004-0026-z"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.212.2.r99au06588"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199602000-00029"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000134282.35183.AD"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151098.52656.3A"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2004.08.073"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2331031564"},{"key":"e_1_2_6_15_2","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1007\/s00330-002-1651-4","article-title":"Imaging of coronary arteriy stents using multislice computed tomography: in vitro evaluation","volume":"13","author":"Maintz D","year":"2003","journal-title":"Eur Radiol"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.rli.0000095471.91575.18"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/hc4401.098472"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000060542.79482.81"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.4.951"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2332032107"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.20760","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.20760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T07:04:52Z","timestamp":1700031892000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.20760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,6,8]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,7]]}},"alternative-id":["10.1002\/ccd.20760"],"URL":"https:\/\/doi.org\/10.1002\/ccd.20760","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,6,8]]}}}