{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:56:25Z","timestamp":1787500585881,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T00:00:00Z","timestamp":1428537600000},"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":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate early results, learning\u2010curve changes, and mid\u2010term outcome of arterial duct (AD) stenting in congenital heart disease with duct\u2010dependent pulmonary circulation (CHD\u2010DPC) in a high\u2010volume, tertiary referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In spite of wide acceptance as cost\u2010effective alternative to surgical palliation, AD stenting indications, results and mid\u2010term outcome still largely depend on small series, experiences in particular subsets of patients or multicenter series with different approaches and interventional philosophy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between April 2003 and December 2013, 119 patients underwent AD stenting as lower\u2010risk palliation of CHD\u2010DPC at our Institution. Procedural and mid\u2010term follow\u2010up data of these patients are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The procedure was successfully completed in 93.3% of cases, with a complication rate and in\u2010hospital mortality of 17.6% and 3.6%, respectively. No patient underwent rescue surgical shunt but elective Blalock\u2010Taussig shunt was needed in 15 patients (13.5%). Over time, favorable trends toward higher feasibility and efficacy in complex ductal anatomy as well as lower procedural risk were recorded. Presurgical cardiac catheterization (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200936) showed significant and balanced pulmonary artery (PA) growth (Nakata Index +113\u2009\u00b1\u2009101%; left PA\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score +87\u2009\u00b1\u200952%; right PA\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score +97\u2009\u00b1\u200953%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001 for all comparisons), without significant changes of left\u2010to\u2010right PA diameter ratio. PA growth was significantly better in patients with severely hypoplastic PAs at the time of duct stabilization (Nakata Index increase 194\u2009\u00b1\u2009115 vs. 75\u2009\u00b1\u200961%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AD stenting is feasible and effective at low\u2010risk in a high percentage of patients with CHD\u2010DPC, promoting significant and balanced PA growth mainly in patients with hypoplastic main PAs at duct stabilization. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.25949","type":"journal-article","created":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T05:21:37Z","timestamp":1428556897000},"page":"249-257","source":"Crossref","is-referenced-by-count":58,"title":["Ten\u2010years, single\u2010center experience with arterial duct stenting in duct\u2010dependent pulmonary circulation: Early results, learning\u2010curve changes, and mid\u2010term outcome"],"prefix":"10.1002","volume":"86","author":[{"given":"Giuseppe","family":"Santoro","sequence":"first","affiliation":[{"name":"Paediatric Cardiology and Cardiac Surgery a.O.R.N. \u201cOspedali Dei Colli\u201d 2nd University of Naples Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpiero","family":"Gaio","sequence":"additional","affiliation":[{"name":"Paediatric Cardiology and Cardiac Surgery a.O.R.N. \u201cOspedali Dei Colli\u201d 2nd University of Naples Naples 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