{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:38:52Z","timestamp":1787510332177,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T00:00:00Z","timestamp":1670889600000},"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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While right ventricular outflow tract stenting (RVOTS) has become an acceptable alternative to palliative surgery in Tetralogy of Fallot (TOF) and similar physiologies, its utility for relief of refractory hypoxic spells is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent RVOTS for emergency relief of refractory hypoxic spells were identified. Specific modifications to enable expeditious RVOTS included use of stent delivery systems (guiding catheter or long sheath) upfront to minimize catheter exchanges; using coronary wires to cross RVOT initially; stabilizing the catheter with a wire in the aorta while crossing RVOT with a second wire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 2015 to 2022, 11 patients underwent RVOTS for hypoxic spells refractory to medical management. Their median age was 27 days (IQR 8.5\u2013442.5); weight 3.27\u2009kg (2.7\u20138.96); 9 males. Median pulmonary annulus\n                      <jats:italic>Z<\/jats:italic>\n                      score was \u22124.13 (IQR\u22124.85 to\u00a0\u22120.86). Thirteen\u00a0stents with median diameter 5 (4\u20136.5) mm and length 19 (16\u201319.75) mm were implanted, fluoroscopy time:13.6 (11\u201326.3) min; procedure time (60, 30\u201370\u2009min). All were ventilated. Oxygen saturations improved from 45% (40\u201360) to 90% (84\u201392); (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) with no major complications. Postprocedure ventilation was needed for 21 (20\u201349) hours and 4 required diuretic infusion for pulmonary over\u2010circulation. Four needed re\u2010stenting 13 days to 5 months later. At median follow\u2010up of 7 (4\u201317) months; 2 died from unrelated causes, 3 underwent surgery (two correction and one aorto\u2010pulmonary shunt) and 6 await surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RVOTS enables safe, expeditious and effective short\u2010term palliation for refractory hypoxic spells. Specific technical modifications facilitate safety, ease and swiftness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.30522","type":"journal-article","created":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T07:01:11Z","timestamp":1670914871000},"page":"372-378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Rescue right ventricular outflow tract stenting for refractory hypoxic spells"],"prefix":"10.1002","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8621-8235","authenticated-orcid":false,"given":"Navaneetha","family":"Sasikumar","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Amrita Institute of Medical Sciences Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Amrita Institute of Medical Sciences Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5864-5125","authenticated-orcid":false,"given":"Seshadri","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raman Krishna","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Amrita Institute of Medical Sciences Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120002334"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.135723"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-304155"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12198"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.003979"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.120.009520"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-020-01817-2"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.06.008"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.029987"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.06.023"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000202"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02684-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21928"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.965616"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30522","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.30522","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30522","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T08:10:42Z","timestamp":1692346242000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,13]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1002\/ccd.30522"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30522","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,13]]},"assertion":[{"value":"2022-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}