{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T20:06:22Z","timestamp":1760299582453,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T00:00:00Z","timestamp":1493856000000},"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":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We describe the use of trans\u2010thoracic and trans\u2010conduit puncture to access the atria and perform interventional procedures in patients who have undergone conduit total cavopulmonary anastomosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Catheter access to the atria following intra or extra\u2010cardiac Fontan is desirable when there is a need for trans\u2010atrial interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2009 and 2014, 5 patients ages 7 to 28 years underwent this approach; three trans\u2010thoracic and 2 trans\u2010conduit punctures. Various therapeutic aims were achieved. Included are: placement of pacing wire in the left atrial appendage, access to re\u2010canalized left superior vena cava via the coronary sinus for device occlusion eliminating cyanosis, access with subsequent device closure of a dormant pulmonary valve thought to be the nidus of an embolic event, and access to the atria for ablation of an atrial tachycardia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Entry to the atria was successful in all five patients with either trans\u2010thoracic access or trans\u2010conduit puncture with subsequent intended intervention performed successfully.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Trans\u2010conduit puncture and trans\u2010thoracic access may allow therapeutic procedures which mitigate the need for further open heart surgery. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27044","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T11:42:58Z","timestamp":1493898178000},"page":"292-296","source":"Crossref","is-referenced-by-count":2,"title":["Access to the native atria following conduit total cavopulmonary anastomosis"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5412-3610","authenticated-orcid":false,"given":"Robert L.","family":"Petersen","sequence":"first","affiliation":[{"name":"Saint Louis University School of Medicine, Department of Pediatrics Division of Pediatric Cardiology, and Cardinal Glennon Children's Hospital St Louis MO 63104"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saar","family":"Danon","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine, Department of Pediatrics Division of Pediatric Cardiology, and Cardinal Glennon Children's Hospital St Louis MO 63104"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadeh","family":"Jureidini","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine, Department of Pediatrics Division of Pediatric Cardiology, and Cardinal Glennon Children's Hospital St Louis MO 63104"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-13-1105"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31821b1f10"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20080"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.01058.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.4.396"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(98)70406-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70402-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0227"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.10.037"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.18501\/arrhythmia.2015.032"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.03.017"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T09:10:42Z","timestamp":1696583442000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1002\/ccd.27044"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27044","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2017,5,4]]}}}