{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T23:20:14Z","timestamp":1773098414087,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical main pulmonary artery (PA) banding is a palliative procedure to regulate pulmonary blood flow in patients with ventricular septal defects (VSD)(s).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We report on immediate and midterm outcomes of transcatheter PA debanding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single\u2010center retrospective case series of children who underwent transcatheter debanding between 2017 and 2025. Baseline clinical and follow\u2010up data were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine patients underwent transcatheter debanding at a median age of 9 months (Q1\u2212Q3, 7\u201313) and a median weight of 8.0\u2009kg (7.3\u201310.3). Surgical PA bands were placed for large or multiple VSDs, with or without aortic coarctation repair. Median time from banding to debanding was 6 months (9\u221213). Before debanding, right ventricular (RV) systolic pressure was 115% (84\u2212126) of systemic pressure, and the peak right ventricle\u2010to\u2010PA (RV\u2010PA) echocardiographic gradient was 76\u2009mmHg (72\u2212100). Debanding was performed using a balloon\u2010to\u2010angiographic band diameter ratio of 2.3 (2\u22123.1) and a balloon to angiographic pulmonary valve annulus ratio of 0.93 (0.90\u20131.02). Post debanding, RV systolic pressure and RV\u2010PA gradient improved to 72% (62\u221275,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) of the systemic pressure and 36\u2009mmHg (30\u221246;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), respectively. Band diameter increased from 4.6\u2009mm (4.5\u22125.1) to 9.3\u2009mm (8.3\u201011.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). There were no major procedural complications. Peak RV\u2010PA gradients remained low at 23\u2009mmHg (12\u221251) at a median follow\u2010up of 2 years (1\u22122.4). One patient required repeat balloon angioplasty, and one underwent surgical debanding along with VSD closure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transcatheter PA debanding is safe and effective in selected patients, with sustained low echocardiography gradients in mid\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70393","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T04:36:19Z","timestamp":1764822979000},"page":"655-664","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transcatheter Main Pulmonary Artery Debanding in Children\u2014Immediate and Midterm Outcomes"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0677-0089","authenticated-orcid":false,"given":"Hadeel","family":"Allam","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-0309","authenticated-orcid":false,"given":"Daisuke","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic B.","family":"Zanaboni","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew C.","family":"Glatz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7161-8391","authenticated-orcid":false,"given":"Pirooz","family":"Eghtesady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramzi","family":"Nicolas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"},{"name":"Section of Pediatric Cardiothoracic Surgery Washington University School of Medicine in St. Louis St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David T.","family":"Balzer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Washington University School of Medicine, Division of Cardiology St. Louis Children's Hospital St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2005.11081"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.15420\/usc.2009.6.2.107"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1510\/mmcts.2011.004275"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02578073"},{"key":"e_1_2_9_6_1","volume-title":"Stat Pearls [Internet]","author":"Brown K. 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