{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:18:32Z","timestamp":1762867112943,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"3","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":[[2017,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe our 20\u2010year experience with intraoperative pulmonary artery (PA) stent placement and evaluate long\u2010term patient outcomes, specifically the need and risk factors for reintervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Intraoperative PA stent placement is an alternative to surgical patch arterioplasty and percutaneous angioplasty or stent placement to treat branch PA stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of all intraoperative PA stents placed at our institution from 1994\u20102013. Patient and stent characteristics and outcome data were collected. Risk factors associated with reintervention were identified using univariate cox regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010one PA stents were placed in 68 patients. The procedural complication rate was 4.4%. During a median follow\u2010up period of 6 years (interquartile range [IQR] 0.9\u201012.7), 30 patients (44%) underwent reintervention on the stented PA with a median time to first reintervention of 2.6 years (IQR 0.7\u20134.4 years). The first reintervention was surgical in 30% and catheter\u2010based in 70%. Risk factors for reintervention included age\u2009&lt;\u200918 months (Hazard ratio [HR] 2.97, <jats:italic>P<\/jats:italic>\u2009=\u20090.005) and body surface area\u2009&lt;\u20090.47 m<jats:sup>2<\/jats:sup> (HR 3.20, <jats:italic>P<\/jats:italic>\u2009=\u20090.003) at the time of stent implantation, and the presence of multiple aortopulmonary collaterals in patients with tetralogy of Fallot (HR 4.61, <jats:italic>P<\/jats:italic>\u2009=\u20090.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intraoperative PA stent implantation is a safe and effective alternative to percutaneous stent implantation and offers several advantages, including the ability to implant adult\u2010size stents in small patients while avoiding injury to peripheral vessels, to position stents to facilitate future percutaneous stent redilation, and to access the PAs directly, which eliminates radiation exposure. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27094","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T11:46:58Z","timestamp":1493898418000},"page":"398-406","source":"Crossref","is-referenced-by-count":7,"title":["Twenty years of experience with intraoperative pulmonary artery stenting"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5865-9591","authenticated-orcid":false,"given":"Jeffrey D.","family":"Zampi","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology University of Michigan Congenital Heart Center, C.S. Mott Children's Hospital Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emefah","family":"Loccoh","sequence":"additional","affiliation":[{"name":"Ohio State University, College of Medicine Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee K.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Nationwide Children's Hospital Columbus Ohio 43205"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunkyung","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology University of Michigan Congenital Heart Center, C.S. Mott Children's Hospital Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ray","family":"Lowery","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology University of Michigan Congenital Heart Center, C.S. Mott Children's Hospital Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert P.","family":"Rocchini","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology University of Michigan Congenital Heart Center, C.S. Mott Children's Hospital Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer C.","family":"Hirsch\u2010Romano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery University of Michigan Congenital Heart Center, C.S. Mott Children's Hospital Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2001.tb00346.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0795-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900195"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)33438-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12121"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.01.013"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70075-7"},{"key":"e_1_2_7_9_1","first-page":"592","article-title":"\"Hybrid\u201d stent delivery in the pulmonary circulation","volume":"20","author":"Holzer RJ","year":"2008","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.07.061"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.04.121"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01822-1"},{"key":"e_1_2_7_13_1","first-page":"II210","article-title":"Intraoperative and percutaneous stenting of congenital pulmonary artery and vein stenosis","volume":"88","author":"Mendelsohn AM","year":"1993","journal-title":"Circulation"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu435"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2013.12.018"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22797"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.52802"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.961029"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2012.08.008"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.07.087"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.10.068"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.10.016"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T20:18:56Z","timestamp":1696623536000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,4]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1002\/ccd.27094"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27094","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]]}}}