{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T18:04:32Z","timestamp":1763748272946,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"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":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the impact of right ventricular outflow tract (RVOT) stenting as the primary palliation in infants with complete atrioventricular septal defect with associated tetralogy of Fallot (cAVSD\/TOF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Historically, palliation of symptomatic patients with cAVSD\/TOF has been achieved through surgical systemic to pulmonary artery shunting. More recently RVOT stenting has evolved as an acceptable alternative in patients with tetralogy of Fallot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of all patients with cAVSD\/TOF who underwent RVOT stenting as palliation over a 13\u2010year period from two large tertiary referral centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six patients underwent RVOT stenting at a median age of 57\u2009days (interquartile range [IQR] 25.5\u2013106.5). Median weight for stent deployment was 3.7 kg (IQR 2.91\u20135.5 kg). RVOT stenting improved oxygen saturations from a median of 72% (IQR 70\u201376%) to 90% (IQR 84\u201392%), <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001.<\/jats:p><jats:p>There was a significant increase in the median Z\u2010score for both branch pulmonary arteries at median follow\u2010up of 255\u2009days (IQR 60\u2013455). Eight patients required RVOT stent balloon dilatations and 8 patients required re\u2010stenting for progressive desaturation. The median duration between reinterventions was 122\u2009days (IQR 53\u2013294\u2009days). Four patients died during the follow\u2010up period. No deaths resulted from the initial intervention. To date, definitive surgical intervention was achieved in 19 patients (biventricular repair <jats:italic>n<\/jats:italic> = 15) at a median age of 369\u2009days (IQR 223\u2013546\u2009days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RVOT stenting in cAVSD\/TOF is a safe and effective palliative procedure in symptomatic infants, promoting pulmonary artery growth and improving oxygen saturations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29306","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T17:56:04Z","timestamp":1602006964000},"page":"1445-1453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Short to medium term outcomes of right ventricular outflow tract stenting as initial palliation for symptomatic infants with complete atrioventricular septal defect with associated tetralogy of Fallot"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7303-5808","authenticated-orcid":false,"given":"Mohammad","family":"Abumehdi","sequence":"first","affiliation":[{"name":"The Heart Unit Birmingham Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0909-6291","authenticated-orcid":false,"given":"Mohamed","family":"Al Nasef","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetan","family":"Mehta","sequence":"additional","affiliation":[{"name":"The Heart Unit Birmingham Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Botha","sequence":"additional","affiliation":[{"name":"The Heart Unit Birmingham Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin","family":"McMahon","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Oslizlok","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin P.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"McCrossan","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4279-6102","authenticated-orcid":false,"given":"Damien","family":"Kenny","sequence":"additional","affiliation":[{"name":"Children's Health Ireland at Crumlin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"St\u00fcmper","sequence":"additional","affiliation":[{"name":"The Heart Unit Birmingham Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,6]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_2_1","DOI":"10.1016\/S0022-5223(98)70040-6"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_1","DOI":"10.1016\/S0022-5223(19)38458-2"},{"doi-asserted-by":"publisher","key":"e_1_2_10_4_1","DOI":"10.1017\/S1047951100007113"},{"doi-asserted-by":"publisher","key":"e_1_2_10_5_1","DOI":"10.1016\/S0003-4975(10)61484-1"},{"doi-asserted-by":"publisher","key":"e_1_2_10_6_1","DOI":"10.1016\/j.jtcvs.2008.09.055"},{"issue":"24","key":"e_1_2_10_7_1","first-page":"1985","article-title":"Right ventricular outflow tract stent versus BT shunt palliation in tetralogy of Fallot","volume":"103","author":"Quandt D","year":"2017","journal-title":"Heart"},{"doi-asserted-by":"publisher","key":"e_1_2_10_8_1","DOI":"10.1016\/j.athoracsur.2016.07.038"},{"doi-asserted-by":"publisher","key":"e_1_2_10_9_1","DOI":"10.1111\/j.0886-0440.2004.04031.x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_10_1","DOI":"10.1016\/j.athoracsur.2011.02.030"},{"doi-asserted-by":"publisher","key":"e_1_2_10_11_1","DOI":"10.1016\/j.jcin.2017.06.023"},{"doi-asserted-by":"publisher","key":"e_1_2_10_12_1","DOI":"10.1161\/CIRCIMAGING.117.006979"},{"doi-asserted-by":"publisher","key":"e_1_2_10_13_1","DOI":"10.1186\/s40949-017-0005-7"},{"doi-asserted-by":"publisher","key":"e_1_2_10_14_1","DOI":"10.1111\/chd.12552"},{"doi-asserted-by":"publisher","key":"e_1_2_10_15_1","DOI":"10.1093\/ejcts\/ezt188"},{"doi-asserted-by":"publisher","key":"e_1_2_10_16_1","DOI":"10.4103\/apc.APC_87_18"},{"doi-asserted-by":"publisher","key":"e_1_2_10_17_1","DOI":"10.1161\/CIRCINTERVENTIONS.116.003979"},{"doi-asserted-by":"publisher","key":"e_1_2_10_18_1","DOI":"10.1093\/ejcts\/ezw017"},{"doi-asserted-by":"publisher","key":"e_1_2_10_19_1","DOI":"10.1177\/2150135112471352"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29306","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29306","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T13:30:37Z","timestamp":1693834237000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,6]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1002\/ccd.29306"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29306","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2020,10,6]]},"assertion":[{"value":"2020-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}