{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T09:52:59Z","timestamp":1765619579108,"version":"3.37.3"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Children's Hospital Los Angeles Heart Ambassadors"},{"name":"Hearst Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2017,11,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Unique and small anatomical features often preclude the use of available vascular stents in pediatric patients with congenital heart disease (CHD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report our experience and outcomes tailoring stents to fit unique anatomy, particularly in small children and infants with CHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Stent tailoring techniques included trimming, folding, and flaring. Patients receiving a tailored stent November 2002 to February 2015 were included in a retrospective analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one tailored stents were implanted in 30 patients with median age and weight of 0.8 years (6 days to 17 years) and 8.1 kg (2.9\u201347.9 kg). Thirty stents were placed intraoperatively and 11 percutaneously. Sites included branch pulmonary arteries (BPA; <jats:italic>n<\/jats:italic>\u2009=\u200932), pulmonary veins (<jats:italic>n<\/jats:italic>\u2009=\u20096), SVC (<jats:italic>n<\/jats:italic>\u2009=\u20091), and the ventricular septum (<jats:italic>n<\/jats:italic>\u2009=\u20092). Twenty\u2010three (56%) stents were trimmed with or without folding to avoid jailing of side branches, 16 (39%) stents were folded or flared with or without trimming to avoid excessive proximal protrusion, and two (5%) stents were folded back at both ends for implantation in ventricular septal defects. Final stent lengths were 6\u201315 mm. Minimal vessel diameters increased from 2.8\u2009\u00b1\u20091.4 mm to 6.7\u2009\u00b1\u20092.6 mm (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Complications included two intraoperative BPA tears, three pinhole balloon leaks, two intraoperative stent dislodgements, one transient heart block, and one lung reperfusion injury. Follow\u2010up catheterization included 36 re\u2010dilations and implantation of four additional stents over a median of 4.1 years. In\u2010stent restenosis was the indication in 25 (69.4%) re\u2010interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tailored stents can be safely implanted to fit unique anatomy in small patients. Re\u2010interventions can effectively treat restenosis and accommodate ongoing vessel growth.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27234","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T10:52:44Z","timestamp":1504263164000},"page":"963-971","source":"Crossref","is-referenced-by-count":9,"title":["Tailoring stents to fit the anatomy of unique vascular stenoses in congenital heart disease"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-3209","authenticated-orcid":false,"given":"Patrick M.","family":"Sullivan","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology, Children's Hospital Los Angeles University of Southern California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee","family":"Liou","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Texas Children's Hospital, Baylor College of Medicine Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl","family":"Takao","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Children's Hospital Los Angeles University of Southern California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri","family":"Justino","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Texas Children's Hospital, Baylor College of Medicine Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Petit","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Healthcare of Atlanta, Emory University School of Medicine Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge D.","family":"Salazar","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Children's Hospital Boston, Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank F.","family":"Ing","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Children's Hospital Los Angeles University of Southern California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.83.6.1923"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.2.605"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25567"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22797"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00535-4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24886"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24949"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001573-200103000-00002"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31821b1f10"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.959262"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.02.011"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.01.029"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1531003509351594"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.12.027"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25747"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9I10A207"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135114559405"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25596"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.003281"},{"key":"e_1_2_8_21_1","first-page":"179","article-title":"Intentional stent fractures in structural heart disease: Breaking the chains is the only way","volume":"81","author":"Patel M","year":"2013","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1466-8"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.4.893"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01406-1"},{"key":"e_1_2_8_25_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.27234","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T12:32:52Z","timestamp":1695731572000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,11,15]]}},"alternative-id":["10.1002\/ccd.27234"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27234","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}