{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:15:54Z","timestamp":1787328954485,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"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>\n                    Patent ductus arteriosus (PDA) stenting is a less invasive alternative to surgical shunts in ductal-dependent congenital heart disease. Umbilical artery access for PDA stenting offers femoral-like retrograde advantages while avoiding associated risks, however is underreported in this context. This study evaluates umbilical artery access feasibility and outcomes for PDA stenting. A case series included seven neonates undergoing PDA stenting via umbilical artery access between 01\/17\/2020 and 10\/30\/2024 at Rady Children\u2019s Hospital, San Diego. Patient demographics, PDA morphology, and procedural details were collected. Existing umbilical arterial lines were rewired and exchanged for a 4\u00a0F Flexor sheath (Cook Medical Bloomington, Indiana, USA), advanced through the iliac artery to the descending aorta. A coaxial system was used to cross the PDA and deploy coronary stents with a wire-locking technique for controlled positioning. Post-procedure, patients received dual antiplatelet therapy with the umbilical catheter remaining in situ until stability. This study (71% female) had a median gestational age of 38 weeks and a median birth weight of 2.97\u00a0kg. The median age at catheterization was 8 days (range: 3\u201310). PDA morphology originated from the descending aorta (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20094, 57.1%) and the brachiocephalic artery (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20093, 42.9%). The median procedure time was 126\u00a0min (range: 42\u2013161\u00a0min), with a median fluoroscopy time of 24.7\u00a0min (11.4\u201358.6). No intra- or post-procedural complications occurred. Median stent diameter was 3.5\u00a0mm; 85.7% required one stent. Scheduled reinterventions, as part of staged palliation, were performed in a subset of patients. Umbilical artery access for PDA stenting is a safe and effective alternative in select cases, with no acute complications in our study.\n                  <\/jats:p>","DOI":"10.1007\/s00246-026-04215-1","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:39:40Z","timestamp":1774535980000},"page":"2481-2489","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Umbilical Artery Access for PDA Stenting: Feasibility in Select Anatomy"],"prefix":"10.1007","volume":"47","author":[{"given":"Thomas","family":"Roberts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjan","family":"Hesari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danica","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Gomez-Arostegui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clinton","family":"Fulk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Suttner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Nigro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howaida","family":"El-Said","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"issue":"2","key":"4215_CR1","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.jacc.2004.03.068","volume":"44","author":"M Alwi","year":"2004","unstructured":"Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD (2004) Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. 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The study utilized anonymized patient data and the requirement for informed consent was waived.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}