{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T22:44:51Z","timestamp":1759099491549},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2008,2,5]],"date-time":"2008-02-05T00:00:00Z","timestamp":1202169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Creation of a systemic-to-pulmonary shunt is still the firstline treatment in neonates with duct-dependent pulmonary circulation, or in patients with hypoplastic left heart syndrome as a part of the first stage of the Norwood sequence. Acute complications after such surgery, such as stenosis, thrombosis, or kinking, are potentially lifethreatening. These complications require immediate revision or exchange of the shunt. In this report, we discuss interventional treatment as an alternative to surgery in 5 patients with acute stenosis or complete occlusion of a shunt.<\/jats:p><jats:p>The age of the patients ranged from 12 to 62 days, with a median of 30 days, and their weights ranged between 2.2 and 4.6 kilogrammes, with a median of 3.2 kilogrammes. In 3 patients, the shunts were central or of modified Blalock-Taussig type, while the 2 patients with hypoplastic left heart syndrome had shunts from the right ventricle to the pulmonary arteries. We implanted 6 coronary arterial and 2 peripheral stent systems. The diameter of the balloon used for implantation had a ratio to the shunt of 0.9. to 1.<\/jats:p><jats:p>All shunts were successfully reopened by stenting. During follow-up, 3 patients underwent further procedures on an elective basis. We have one patient on the waiting list for further surgical intervention, but one patient died of septicaemia unrelated to the interventional procedure one month after implantation.<\/jats:p><jats:p>In our limited experience, implantation of stents is an effective and long-lasting treatment for complications of shunts in an emergency situation.<\/jats:p>","DOI":"10.1017\/s1047951108001959","type":"journal-article","created":{"date-parts":[[2008,2,5]],"date-time":"2008-02-05T13:55:27Z","timestamp":1202219727000},"page":"177-184","source":"Crossref","is-referenced-by-count":14,"title":["Implantation of stents as an alternative to reoperation in neonates and infants with acute complications after surgical creation of a systemic-to-pulmonary arterial shunt"],"prefix":"10.1017","volume":"18","author":[{"given":"Michael","family":"Kaestner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald P.","family":"Handke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Photiadis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Sigler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin B.E.","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,2,5]]},"reference":[{"key":"S1047951108001959_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199812)45:4<405::AID-CCD11>3.0.CO;2-A"},{"key":"S1047951108001959_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)00168-1"},{"key":"S1047951108001959_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s003920050018"},{"key":"S1047951108001959_ref18","first-page":"354","article-title":"Thrombolysis and stent implantation in a child with an acute occlusion of the Blalock-Taussig \u2013 a case report","volume":"60","author":"Moszura","year":"2004","journal-title":"Kardiol Pol"},{"key":"S1047951108001959_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64320-2"},{"key":"S1047951108001959_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199710)42:2<191::AID-CCD21>3.0.CO;2-Q"},{"key":"S1047951108001959_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)01126-0"},{"key":"S1047951108001959_ref16","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.56.4.612"},{"key":"S1047951108001959_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(90)90133-I"},{"key":"S1047951108001959_ref14","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/S0022-5223(19)37483-5","article-title":"The Blalock-Taussig shunt: Low risk, effective palliation, and pulmonary artery growth","volume":"85","author":"Guyton","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951108001959_ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198301063080106"},{"key":"S1047951108001959_ref1","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/S0022-5223(19)37668-8","article-title":"Modified Blalock-Taussig shunt. Use of subclavian artery orifice as flow regulator in prosthetic systemic-pulmonary artery shunts","volume":"81","author":"de Leval","year":"1981","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951108001959_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20438"},{"key":"S1047951108001959_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90026-3"},{"key":"S1047951108001959_ref3","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0022-5223(19)39288-8","article-title":"Experience with operation for patients with hypoplastic left heart syndrome","volume":"82","author":"Norwood","year":"1981","journal-title":"J Thorac Cardiovosc Surg"},{"key":"S1047951108001959_ref25","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.052704"},{"key":"S1047951108001959_ref24","first-page":"743","article-title":"Emergency transcatheter balloon recanalization of acutely thrombosed modified Blalock-Taussig shunts","volume":"53","author":"Sivakumar","year":"2001","journal-title":"Indian Heart J"},{"key":"S1047951108001959_ref17","first-page":"645","article-title":"Modified Blalock-Taussig shunts: to heparinize or not to heparinize","volume":"12","author":"Mullen","year":"1996","journal-title":"Can J Cardiol"},{"key":"S1047951108001959_ref15","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0022-5223(19)40917-3","article-title":"Growth of the pulmonary anulus and pulmonary arteries after Blalock-Taussig shunt","volume":"77","author":"Gale","year":"1979","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951108001959_ref8","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1016\/S0022-5223(19)35446-7","article-title":"Modified Blalock-Taussig Shunt in newborn infants","volume":"88","author":"Ilbawi","year":"1984","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951108001959_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00461-5"},{"key":"S1047951108001959_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01078-X"},{"key":"S1047951108001959_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(89)90004-3"},{"key":"S1047951108001959_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(02)73575-7"},{"key":"S1047951108001959_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00165-9"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951108001959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T13:49:00Z","timestamp":1588340940000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951108001959\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,2,5]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["S1047951108001959"],"URL":"https:\/\/doi.org\/10.1017\/s1047951108001959","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,2,5]]}}}