{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:15:29Z","timestamp":1787328929510,"version":"build-2736575974"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Our aim is to\u00a0describe the experience of ductal stenting using the balloon-expandable Valeo stent in ductal-dependent systemic circulation. Outcomes assessed were procedural success, procedural survival, stent related complications, and re-intervention rates. Hybrid palliation, consisting of ductal stenting and bilateral pulmonary artery band placement, is a widely accepted alternative for stage I palliative surgery. Off-label use of stents is the norm for this procedure. The Valeo\u00a0stent\u00a0is one such example with minimal data on its use for ductal stenting. Retrospective data was collected for seventeen patients who underwent the hybrid procedure with ductus arteriosus stenting and pulmonary artery banding between November 2019 and September 2024. Descriptive statistics were performed. Seventeen patients underwent the hybrid procedure between November 2019 and September 2024 with a median age of 14 days (IQR 10\u201320 days) and median weight of 3.47 kg (IQR 3.2\u20134.2 kg). Fifteen patients had a single stent implanted at the time of the initial procedure and two patients required an additional stent. There were no intraoperative deaths, there was one in-hospital death. The interstage mortality was 30%, 12 out of 17 patients survived to subsequent planned procedure. The median duration to subsequent palliation was 157 days, during which no patients developed any in-stent stenosis or stent migration. The re-intervention rate was 35%. This consisted of 5 patients that required additional stents in the inter-stage period to address the ductal constriction in the pulmonary or aortic end and 1 patient that required balloon angioplasty for somatic growth. The Valeo stent can be a suitable option for ductal stenting during hybrid procedure in patients with hypoplastic left heart syndrome and other left heart obstructive lesions. It is an effective stent for maintaining ductal patency with good safety profile and a low rate of in-stent stenosis due to intimal proliferation during the inter-stage period.<\/jats:p>","DOI":"10.1007\/s00246-025-03931-4","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T08:07:15Z","timestamp":1750925235000},"page":"2460-2467","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Valeo Stent Use for Ductal-Dependent Systemic Circulations"],"prefix":"10.1007","volume":"47","author":[{"given":"Mayank","family":"Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2644-5425","authenticated-orcid":false,"given":"Kamel","family":"Shibbani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Khallaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassel Mohammad","family":"Nijres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamah","family":"Aldoss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"issue":"14","key":"3931_CR1","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1161\/CIRCULATIONAHA.121.055183","volume":"144","author":"AB Ho","year":"2021","unstructured":"Ho AB et al (2021) Hybrid palliation for hypoplastic left heart syndrome: association with contemporary outcomes. Circulation 144(14):1189\u20131191","journal-title":"Circulation"},{"issue":"6","key":"3931_CR2","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1136\/hrt.69.6.551","volume":"69","author":"JL Gibbs","year":"1993","unstructured":"Gibbs JL et al (1993) Stenting of the arterial duct combined with banding of the pulmonary arteries and atrial septectomy or septostomy: a new approach to palliation for the hypoplastic left heart syndrome. Br Heart J 69(6):551\u2013555","journal-title":"Br Heart J"},{"issue":"20","key":"3931_CR3","doi-asserted-by":"publisher","first-page":"2621","DOI":"10.1161\/01.CIR.99.20.2621","volume":"99","author":"JL Gibbs","year":"1999","unstructured":"Gibbs JL et al (1999) Fate of the stented arterial duct. Circulation 99(20):2621\u20132625","journal-title":"Circulation"},{"issue":"2","key":"3931_CR4","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1007\/s00246-004-0962-4","volume":"26","author":"M Galantowicz","year":"2005","unstructured":"Galantowicz M, Cheatham JP (2005) Lessons learned from the development of a new hybrid strategy for the management of hypoplastic left heart syndrome. Pediatr Cardiol 26(2):190\u2013199","journal-title":"Pediatr Cardiol"},{"issue":"3","key":"3931_CR5","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s00246-024-03492-y","volume":"46","author":"D Schranz","year":"2025","unstructured":"Schranz D (2025) Duct stenting in duct-dependent systemic blood flow, past, present, and future. Pediatr Cardiol 46(3):515\u2013524","journal-title":"Pediatr Cardiol"},{"issue":"6","key":"3931_CR6","doi-asserted-by":"publisher","first-page":"2063","DOI":"10.1016\/j.athoracsur.2008.02.009","volume":"85","author":"M Galantowicz","year":"2008","unstructured":"Galantowicz M, Cheatham JP, Phillips A, Cua CL, Hoffman TM, Hill SL, Rodeman R (2008) Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 85(6):2063\u20132071","journal-title":"Ann Thorac Surg"},{"issue":"9","key":"3931_CR7","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1161\/hc0902.104709","volume":"105","author":"H Akintuerk","year":"2002","unstructured":"Akintuerk H et al (2002) Stenting of the arterial duct and banding of the pulmonary arteries: basis for combined Norwood stage I and II repair in hypoplastic left heart. Circulation 105(9):1099\u20131103","journal-title":"Circulation"},{"issue":"2","key":"3931_CR8","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s00246-014-1015-2","volume":"36","author":"D Schranz","year":"2015","unstructured":"Schranz D et al (2015) Fifteen-year single center experience with the \u201cGiessen Hybrid\u201d approach for hypoplastic left heart and variants: current strategies and outcomes. Pediatr Cardiol 36(2):365\u2013373","journal-title":"Pediatr Cardiol"},{"issue":"11","key":"3931_CR9","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.4244\/EIJY15M01_08","volume":"10","author":"S Goreczny","year":"2015","unstructured":"Goreczny S et al (2015) Self-expanding stent implantation in arterial duct during hybrid palliation of hypoplastic left heart syndrome: midterm experience with a specially designed stent. EuroIntervention 10(11):1318\u20131325","journal-title":"EuroIntervention"},{"issue":"11","key":"3931_CR10","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.4244\/EIJY15M01_09","volume":"10","author":"C Ovaert","year":"2015","unstructured":"Ovaert C et al (2015) The VALEO vascular stent for cardiovascular lesions in children. EuroIntervention 10(11):1326\u20131331","journal-title":"EuroIntervention"},{"issue":"6","key":"3931_CR11","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1017\/S104795111500219X","volume":"26","author":"FC Travelli","year":"2016","unstructured":"Travelli FC et al (2016) The valeo stent: a pre-mounted, open-cell, large stent for use in small children with CHD. Cardiol Young 26(6):1187\u20131193","journal-title":"Cardiol Young"},{"issue":"2","key":"3931_CR12","first-page":"197","volume":"84","author":"V Kudumula","year":"2014","unstructured":"Kudumula V et al (2014) Implantation and preliminary follow-up of the bard valeo stent in pulmonary artery stenosis. Catheter Cardiovasc Interv 84(2):197\u2013203","journal-title":"Catheter Cardiovasc Interv"},{"key":"3931_CR13","doi-asserted-by":"publisher","first-page":"275","DOI":"10.12659\/AJCR.890455","volume":"15","author":"N Sharma","year":"2014","unstructured":"Sharma N, Goreczny S (2014) The role of the new valeo stent in treating pulmonary artery stenoses in children with complex cardiac malformations: a report of two cases. Am J Case Rep 15:275\u2013279","journal-title":"Am J Case Rep"},{"issue":"3","key":"3931_CR14","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1007\/s00246-023-03402-8","volume":"45","author":"JJC Gibb","year":"2024","unstructured":"Gibb JJC et al (2024) Medium-term outcomes of stent therapy for aortic coarctation in children under 30 kg with new generation low-profile stents: a follow-up study of a single centre experience. Pediatr Cardiol 45(3):544\u2013551","journal-title":"Pediatr Cardiol"},{"issue":"2","key":"3931_CR15","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1007\/s00246-006-1444-7","volume":"28","author":"H Akint\u00fcrk","year":"2007","unstructured":"Akint\u00fcrk H et al (2007) Hybrid transcatheter-surgical palliation: basis for univentricular or biventricular repair: the Giessen experience. Pediatr Cardiol 28(2):79\u201387","journal-title":"Pediatr Cardiol"},{"issue":"11 Suppl 1","key":"3931_CR16","first-page":"S205","volume":"128","author":"D Chetan","year":"2013","unstructured":"Chetan D et al (2013) Surgical palliation strategy does not affect interstage ventricular dysfunction or atrioventricular valve regurgitation in children with hypoplastic left heart syndrome and variants. Circulation 128(11 Suppl 1):S205\u2013S212","journal-title":"Circulation"},{"issue":"5","key":"3931_CR17","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1016\/j.jtcvs.2009.11.037","volume":"139","author":"PS Venugopal","year":"2010","unstructured":"Venugopal PS et al (2010) Hybrid procedure as an alternative to surgical palliation of high-risk infants with hypoplastic left heart syndrome and its variants. J Thorac Cardiovasc Surg 139(5):1211\u20131215","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"3931_CR18","first-page":"905","volume":"74","author":"HJ Stern","year":"2009","unstructured":"Stern HJ, Baird CW (2009) A premounted stent that can be implanted in infants and re-dilated to 20 mm: introducing the Edwards Valeo lifestent. Catheter Cardiovasc Interv 74(6):905\u2013912","journal-title":"Catheter Cardiovasc Interv"},{"key":"3931_CR19","doi-asserted-by":"publisher","first-page":"bcr2013202095","DOI":"10.1136\/bcr-2013-202095","volume":"2013","author":"E Shepherd","year":"2013","unstructured":"Shepherd E, Connolly GM, Morgan G (2013) Using the Valeo dilatable stent in coarctation stenting for small children: expanding the inclusion criteria for coarctation stenting? BMJ Case Rep 2013:bcr2013202095","journal-title":"BMJ Case Rep"},{"issue":"1","key":"3931_CR20","doi-asserted-by":"publisher","first-page":"3","DOI":"10.4103\/0974-2069.52802","volume":"2","author":"B Peters","year":"2009","unstructured":"Peters B, Ewert P, Berger F (2009) The role of stents in the treatment of congenital heart disease: current status and future perspectives. Ann Pediatr Cardiol 2(1):3\u201323","journal-title":"Ann Pediatr Cardiol"},{"issue":"5","key":"3931_CR21","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1017\/S1047951116001347","volume":"27","author":"S Goreczny","year":"2017","unstructured":"Goreczny S et al (2017) Comparison of self-expandable and balloon-expanding stents for hybrid ductal stenting in hypoplastic left heart complex. Cardiol Young 27(5):837\u2013845","journal-title":"Cardiol Young"},{"issue":"5","key":"3931_CR22","doi-asserted-by":"publisher","first-page":"1660","DOI":"10.1016\/j.athoracsur.2013.02.002","volume":"95","author":"K Baba","year":"2013","unstructured":"Baba K et al (2013) Fate of the ductal stent after hybrid palliation for hypoplastic left heart syndrome. Ann Thorac Surg 95(5):1660\u20131664","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"3931_CR23","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s00246-010-9820-8","volume":"32","author":"MJ Egan","year":"2011","unstructured":"Egan MJ et al (2011) Predictors of retrograde aortic arch obstruction after hybrid palliation of hypoplastic left heart syndrome. Pediatr Cardiol 32(1):67\u201375","journal-title":"Pediatr Cardiol"},{"issue":"6","key":"3931_CR24","doi-asserted-by":"publisher","first-page":"1939","DOI":"10.1016\/j.athoracsur.2009.06.115","volume":"88","author":"SC Stoica","year":"2009","unstructured":"Stoica SC et al (2009) The retrograde aortic arch in the hybrid approach to hypoplastic left heart syndrome. Ann Thorac Surg 88(6):1939\u20131946","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"3931_CR25","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1007\/s00246-012-0525-z","volume":"34","author":"HA Nadorlik","year":"2013","unstructured":"Nadorlik HA et al (2013) Predictors of ductus arteriosus in-stent stenosis in the hybrid approach to hypoplastic left heart syndrome. Pediatr Cardiol 34(3):656\u2013660","journal-title":"Pediatr Cardiol"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03931-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-025-03931-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03931-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T15:07:33Z","timestamp":1787324853000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-025-03931-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["3931"],"URL":"https:\/\/doi.org\/10.1007\/s00246-025-03931-4","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,26]]},"assertion":[{"value":"16 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}