{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:28:41Z","timestamp":1787495321496,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post\u2010procedure ultrasound (US) imaging was reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010nine infants underwent PDA stenting from the CA (\n                      <jats:italic>n<\/jats:italic>\n                      = 43) or AA (\n                      <jats:italic>n<\/jats:italic>\n                      = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA\/AA cohort, compared with 33% of the FA cohort (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01). Ductal tortuosity for CA\/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01). In 17 infants with CA\/AA approach, the \u201cflip technique\u201d was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the \u201cflip technique.\u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the \u201cflip technique\u201d may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post\u2010procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.28631","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T05:15:59Z","timestamp":1575868559000},"page":"726-733","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal\u2010dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative"],"prefix":"10.1002","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8185-5702","authenticated-orcid":false,"given":"Holly","family":"Bauser\u2010Heaton","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Children's Healthcare of Atlanta Emory University School of Medicine  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5992-568X","authenticated-orcid":false,"given":"Athar M.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Anesthesia Texas Children's Hospital  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8508-9523","authenticated-orcid":false,"given":"Bryan H.","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cincinnati Children's Hospital  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Glatz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Hospital of Philadelphia  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George T.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Meadows","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California at San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Depaolo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Hospital of Philadelphia  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3699-126X","authenticated-orcid":false,"given":"Varun","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Anesthesia Texas Children's Hospital  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney E.","family":"McCracken","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Healthcare of Atlanta Emory University School of Medicine  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad B.","family":"Mossad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Anesthesia Texas Children's Hospital  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Emory University School of Medicine  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9939-3048","authenticated-orcid":false,"given":"Christopher J.","family":"Petit","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Healthcare of Atlanta Emory University School of Medicine  Atlanta 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