{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:22:22Z","timestamp":1773829342097,"version":"3.50.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T00:00:00Z","timestamp":1333497600000},"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":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951112000364_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Balloon atrial septostomy is a common palliative procedure in neonates with cyanotic congenital heart disease with restricted interatrial blood flow. Despite its advantages, balloon atrial septostomy is not a risk-free procedure and can be associated with numerous complications. The objective of this study is to determine whether the performance of this procedure out-of-hours has a significant impact on the incidence of adverse outcome measures.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951112000364_abs2\" sec-type=\"general\"><jats:title>Methods and Results<\/jats:title><jats:p>A total of 106 neonates who underwent balloon atrial septostomy between 2004 and 2010 were studied retrospectively. In all, 64 infants had the procedure performed within routine hours (9 am to 6 pm), whereas 42 neonates underwent the procedure out-of-hours (6:01 pm to 8:59 am). Procedure-related complications occurred in 32 infants (30.2%), which included 12 out of 64 (18.8%) infants in the routine-hours group and 20 out of 42 (47.6%) in the out-of-hours group. During further follow-up after surgery and including both major and minor adverse events, seven more infants (10.9%) suffered complications after balloon atrial septostomy in the routine-hours group and four more infants (9.5%) suffered complications in the out-of-hours group. This totalled the complication rate in the routine-hours group to 19 infants (29.7%) and 24 infants (57.1%) in the out-of-hours group (p = 0.001). A higher overall mortality rate was also noted in the out-of-hours group.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951112000364_abs3\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Balloon atrial septostomy performed out-of-hours produced higher complication rates as opposed to balloon atrial septostomy performed during routine hours. Only essential cases should be undertaken at night, and all other cases should be deferred to the daytime to limit unnecessary adverse complication.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951112000364","type":"journal-article","created":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T16:17:14Z","timestamp":1333556234000},"page":"61-67","source":"Crossref","is-referenced-by-count":13,"title":["Balloon atrial septostomy performed \u201cout-of-hours\u201d: effects on the outcome"],"prefix":"10.1017","volume":"23","author":[{"given":"Sunitha","family":"Vimalesvaran","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Ayis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Krasemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,4,4]]},"reference":[{"key":"S1047951112000364_ref4","unstructured":"Bazian Ltd. Interventional procedure overview of balloon or blade atrial septostomy. National Institute for Clinical Excellency (NICE), 2003."},{"key":"S1047951112000364_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-2498(02)00820-3"},{"key":"S1047951112000364_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951110000296"},{"key":"S1047951112000364_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1966.03100240125026"},{"key":"S1047951112000364_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.02.018"},{"key":"S1047951112000364_ref14","unstructured":"A report by the National Confidential Enquiry into Perioperative Deaths. Who operates when II?; 2003. http:\/\/www.ncepod.org.uk (accessed November 2003)."},{"key":"S1047951112000364_ref15","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1112"},{"key":"S1047951112000364_ref12","first-page":"295","article-title":"Which general surgical operations must be done at night?","volume":"73","author":"McKee","year":"1991","journal-title":"Ann R Coll Surg Engl"},{"key":"S1047951112000364_ref2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.566752"},{"key":"S1047951112000364_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00396-9"},{"key":"S1047951112000364_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.11.020"},{"key":"S1047951112000364_ref6","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00661"},{"key":"S1047951112000364_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.01.061"},{"key":"S1047951112000364_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/fn.84.3.F141"},{"key":"S1047951112000364_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22463"},{"key":"S1047951112000364_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-2-29"},{"key":"S1047951112000364_ref11","first-page":"1021","article-title":"Role of balloon atrial septostomy before early arterial switch repair of transposition of the great arteries","author":"Baellan","year":"1992","journal-title":"JACC"},{"key":"S1047951112000364_ref3","unstructured":"Campbell B. Interventional Procedure Consultation Document \u2013 balloon or blade atrial septostomy in neonates. National Institue for Clinical Excellence. http:\/\/www.nice.org.uk\/guidance\/index.jsp?action=article&o=31075 (accessed 7 February 2011)."}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951112000364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T19:46:32Z","timestamp":1556135192000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951112000364\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,4]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["S1047951112000364"],"URL":"https:\/\/doi.org\/10.1017\/s1047951112000364","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,4]]}}}