{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:25:07Z","timestamp":1761863107716},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,3,14]],"date-time":"2012-03-14T00:00:00Z","timestamp":1331683200000},"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":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold><jats:styled-content>Objectives:<\/jats:styled-content><\/jats:bold> The aim of this animal study was to establish a shunt connection between superior vena cava (SVC) and right pulmonary artery (RPA) by transvascular intervention solely. <jats:bold><jats:styled-content>Background:<\/jats:styled-content><\/jats:bold> After initial shunt creation, the establishment of the upper cavo\u2010pulmonary anastomosis (UCPA) is the second out of three open chest operations young infants with univentricular anatomy are subjected to. To avoid the risks of reoperation with cardiovascular bypass, we sought to replace this surgical step by an interventional technique. <jats:bold><jats:styled-content>Methods:<\/jats:styled-content><\/jats:bold> After cannulation of jugular and femoral veins in four piglets (mean body weight of 12.5 kg) an UCPA was created by radiofrequency perforation from the SVC across the right atrium into the RPA and subsequent implantation of covered stents. The perforation was guided by biplane fluoroscopy and the perforation wire premounted with a coaxial catheter was advanced into the distal pulmonary artery and exchanged for a stiffer wire. A long sheath was brought into the RPA and an 80 mm long expanded poly\u2010tetra\u2010fluoro\u2010ethylene (ePTFE)\u2010covered Cheatham Platinum stent was then implanted connecting the SVC with the RPA. <jats:bold><jats:styled-content>Results:<\/jats:styled-content><\/jats:bold> Immediate angiography showed antegrade flow from SVC to RPA. Angiographic re\u2010evaluation after a median period of 4 weeks showed partial in\u2010stent stenosis but patent lumina. Additionally, veno\u2010venous collaterals from the SVC to the right atrium had developed. Histology of the explanted stents revealed parietal thrombi and mild to moderate pseudo intima proliferation inside the lumina. <jats:bold><jats:styled-content>Conclusions:<\/jats:styled-content><\/jats:bold> The transvascular creation of an upper unidirectional cavo\u2010pulmonary anastomosis in piglets is technically feasible using standard catheterization equipment. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.23458","type":"journal-article","created":{"date-parts":[[2012,3,14]],"date-time":"2012-03-14T18:03:15Z","timestamp":1331748195000},"page":"93-99","source":"Crossref","is-referenced-by-count":6,"title":["Upper cavo\u2010pulmonary anastomosis by transcatheter technique"],"prefix":"10.1002","volume":"80","author":[{"given":"Boris","family":"Schmitt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Titus Mbah","family":"Sabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Sigler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Berger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Ewert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,3,14]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90238-5"},{"key":"e_1_2_7_3_2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0022-5223(20)31631-7","article-title":"Surgical considerations for treatment of congenital tricuspid atresia and stenosis: With particular reference to vena cava\u2010pulmonary artery anastomosis","volume":"43","author":"Bopp RK","year":"1962","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38595-2"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2009.00733.x"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.715821"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22150"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-009-9422-5"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000200061.90658.08"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951102000422"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.23458","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.23458","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T19:53:54Z","timestamp":1700596434000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.23458"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,14]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1002\/ccd.23458"],"URL":"https:\/\/doi.org\/10.1002\/ccd.23458","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,14]]}}}