{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:58:21Z","timestamp":1773104301800,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pulmonary artery banding (PAB) palliates pulmonary over\u2010circulation, while endovascular debanding (ED) offers a less invasive alternative to repeat surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate our experience with ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Retrospective review of single\u2010center data (2015\u20132023) on children with single, multiple, or \u201cSwiss\u2010cheese\u201d muscular ventricular septal defects (MVSDs) undergoing ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten patients (50% male) underwent ED at a median age of 5 years (IQR, 1.8\u20136.8) and weight of 15\u2009kg (IQR, 10.6\u201319.7). Four patients had single MVSD, six had multiple MVSDs. Debanding occurred at a median of 52.8 months (IQR, 18.4\u201376.6) post\u2010PAB, utilizing six non\u2010compliant Numed Z\u2010MED and four semi\u2010compliant Balt Cristal high\u2010pressure balloons. Median pulmonary valve annulus (PVA) diameters were 15.5\u2009mm (IQR, 12.5\u201316.8) angiographically. Median balloon\u2010to\u2010PVA diameter ratio was 1 (IQR, 1\u20131), and median balloon\u2010to\u2010band diameter ratio was 2 (IQR, 1.8\u20132). Median trans\u2010PAB gradient decreased from 100\u2009mmHg (IQR, 86\u2013108) to 40\u2009mmHg (IQR, 26\u201346) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and oxygen saturation improved from a median of 92% (IQR, 86%\u201397%) to 98% (IQR, 96%\u201398%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). There were no procedural complications. Four patients underwent MVSD device closure a median of 7 months (IQR, 3\u201315) before ED, while seven had concomitant closures, including two with prior closures. Over a median follow\u2010up of 91.7 months (IQR, 71.8\u2013130.7), two patients required redo ED at 23 and 36 months, one with a contained vessel tear. Last recorded maximal Doppler gradient was 27\u2009mmHg (IQR, 9\u201339).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Total ED is safe with satisfactory midterm outcomes, though repeat dilations may be necessary during follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31412","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T08:03:55Z","timestamp":1737360235000},"page":"998-1004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Midterm Outcomes of Endovascular Pulmonary Artery Debanding in Children"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":false,"given":"Raymond N.","family":"Haddad","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center Saint Joseph University Beirut Lebanon"},{"name":"M3C\u2010Necker, Necker\u2010Enfants Malades University Hospital, Assistance Publique \u2013 H\u00f4pitaux de Paris (AP\u2010HP) Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelly","family":"Sleiman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hotel Dieu de France University Medical Center Saint Joseph University Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issam","family":"El Rassi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery Heart Centre of Excellence, Al Jalila Children's Speciality Hospital Dubai United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zakhia","family":"Saliba","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center Saint Joseph University Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2005.11081"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2023.09.020"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/mmcts\/mms010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/mmcts\/mms009"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40820-9"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00300"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1215397"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2008.00233.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26502"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135111415710"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02577108"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02577107"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36874-6"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12449"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02578630"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90096-o"},{"issue":"8","key":"e_1_2_10_18_1","first-page":"339","article-title":"Human Clinical Trials of the Dilatable Pulmonary Artery Banding Prosthesis","volume":"7","author":"Vince D. 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