{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T10:54:45Z","timestamp":1757588085918,"version":"3.40.5"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"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":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120002292_as1\"><jats:title>Objective:<\/jats:title><jats:p>We aim to assess the safety and efficacy of the transcatheter balloon dilation of superior cavopulmonary anastomosis (SCPA).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002292_as2\"><jats:title>Background:<\/jats:title><jats:p>SCPA stenosis can lead to impaired pulmonary blood flow, hypoxemia and development of veno-venous collaterals with right-to-left shunt. Balloon dilation of SCPA has been rarely reported and follow-up information is lacking.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002292_as3\"><jats:title>Methods:<\/jats:title><jats:p>We performed a retrospective review of patients who underwent cardiac catheterisation and angioplasty of SCPA and reviewed patient\u2019s demographics, diagnosis, SCPA surgery and post-operative course, catheterisation haemodynamics, procedural technique, angiography, and the findings of follow-up catheterisation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002292_as4\"><jats:title>Results:<\/jats:title><jats:p>Between 2008 and 2017, seven patients showed significant narrowing of SCPA and underwent balloon angioplasty, all of whom had undergone bidirectional Glenn (BDG). Indications for cardiac catheterisation included persistent pleural effusion, hypoxemia, and echocardiographic evidence of BDG stenosis or routine pre-Fontan assessment. Five patients had bilateral SCPA. The procedure was successful in all cases with increase in the stenosis diameter from a median of 3.3 mm (range 1.2\u20134.7 mm) to a median of 4.7 mm (range 2.6\u20137.8 mm). All patients had at least one follow-up cardiac catheterisation. Only one patient required repeat angioplasty at the 2.3-month follow-up with no further recurrence. Sustained results and interval growth were noted in all other cases during up to 29 months of follow-up. No adverse events were encountered.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002292_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>Based on our small series, balloon angioplasty of BDG stenosis is feasible and safe and appears to provide sustained improvement with interval growth and only the rare recurrence of stenosis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120002292","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T09:12:44Z","timestamp":1597137164000},"page":"1452-1457","source":"Crossref","is-referenced-by-count":3,"title":["Balloon angioplasty of bidirectional Glenn anastomosis"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9142-9341","authenticated-orcid":false,"given":"Amr","family":"Matoq","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Radtke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"S1047951120002292_ref11","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/S0735-1097(98)00246-0","article-title":"Systemic venous collateral development after the bidirectional cavopulmonary anastomosis: prevalence and predictors","volume":"32","author":"Magee","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"S1047951120002292_ref1","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.athoracsur.2011.10.012","article-title":"Risk factor analysis for second-stage palliation of single ventricle anatomy","volume":"93","author":"Lee","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002292_ref12","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/S0735-1097(97)00223-4","article-title":"Systemic venous collateral channels causing desaturation after bidirectional cavopulmonary anastomosis: evaluation and management","volume":"30","author":"McElhinney","year":"1997","journal-title":"J Am Coll Cardiol"},{"key":"S1047951120002292_ref7","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1016\/j.ejcts.2011.02.044","article-title":"Risk factors for adverse outcome after superior cavopulmonary anastomosis for hypoplastic left heart syndrome","volume":"40","author":"Hansen","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"S1047951120002292_ref5","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1016\/S0003-4975(99)00915-7","article-title":"Hemi-Fontan procedure for hypoplastic left heart syndrome: outcome and suitability for Fontan","volume":"68","author":"Douglas","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002292_ref3","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/j.1747-0803.2012.00709.x","article-title":"Cardiac catheterization and interventional procedures as part of staged surgical palliation for hypoplastic left heart syndrome","volume":"7","author":"Hansen","year":"2012","journal-title":"Congenit Heart Dis"},{"key":"S1047951120002292_ref4","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1017\/S1047951113000024","article-title":"Catheter interventions in the staged management of hypoplastic left heart syndrome","volume":"24","author":"Reinhardt","year":"2014","journal-title":"Cardiol Young"},{"key":"S1047951120002292_ref8","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/S0003-4975(00)01627-1","article-title":"Are bilateral superior vena cavae a risk factor for single ventricle palliation?","volume":"70","author":"Iyer","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002292_ref10","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1002\/(SICI)1097-0304(199608)38:4<430::AID-CCD24>3.0.CO;2-H","article-title":"Stent redilation in canine models of congenital heart disease: pulmonary artery stenosis and coarctation of the aorta","volume":"38","author":"Mendelsohn","year":"1996","journal-title":"Catheter Cardiovasc Diagn"},{"key":"S1047951120002292_ref2","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1177\/2150135113498786","article-title":"Early cyanosis after stage II palliation for single ventricle physiology: etiologies and outcomes","volume":"4","author":"Zampi","year":"2013","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"S1047951120002292_ref9","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1016\/j.athoracsur.2014.07.063","article-title":"Impact of bilateral superior venae cavae on outcome of staged Fontan procedure","volume":"98","author":"Ando","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"S1047951120002292_ref6","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.jtcvs.2012.07.069","article-title":"Superior cavopulmonary anastomosis timing and outcomes in infants with single ventricle","volume":"145","author":"Cnota","year":"2013","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120002292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T05:20:40Z","timestamp":1602739240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120002292\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,11]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S1047951120002292"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120002292","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2020,8,11]]}}}