{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T16:57:41Z","timestamp":1774630661566,"version":"3.50.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120004278_as1\"><jats:title>Objectives:<\/jats:title><jats:p>To assess the role of right ventricular outflow tract stenting as the primary intervention in Tetralogy of Fallot with pulmonary stenosis and major aortopulmonary collateral arteries.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120004278_as2\"><jats:title>Background:<\/jats:title><jats:p>The management of a subset of infants with Tetralogy of Fallot with pulmonary stenosis and major aortopulmonary collateral arteries requires a staged approach including rehabilitation of diminutive native pulmonary arteries, conventionally using an aortopulmonary shunt. We share our experience of pulmonary artery rehabilitation with right ventricular outflow tract stenting.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120004278_as3\"><jats:title>Methods:<\/jats:title><jats:p>Retrospective review of all patients with Tetralogy of Fallot with pulmonary stenosis who underwent right ventricular outflow tract stenting as primary intervention over an 8-year period.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120004278_as4\"><jats:title>Results:<\/jats:title><jats:p>Ten patients underwent right ventricular outflow tract stent insertion at a median age of 61 days (interquartile range (IQR) 8.3\u2013155 days). Median weight at stent deployment was 4.2 kg (IQR 3.2\u20135.7 kg). Oxygen saturations improved from a median of 79% (IQR 76\u201380%) to 92% (IQR 90\u201395%), p = 0.012. The median right and left pulmonary artery z score increased from \u22123.51 (IQR \u22124.59 to \u22122.80) and \u22122.07 (IQR \u22123.72 to 0.15) to a median of \u22121.17 (IQR \u22122.26 to 0.16) p &lt; 0.05, and 0.24 (IQR \u22121.09 to 1.84) p &lt; 0.05, respectively, at subsequent angiogram. Nine patients underwent further catheterisation. Four patients underwent complete anatomical repair. Only one patient required unifocalisation, as most patients had a native supply to all-important lung segments.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120004278_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>Right ventricular outflow tract stenting is a useful procedure in the subset of patients with Tetralogy of Fallot with pulmonary stenosis and major aortopulmonary collateral arteries, where native pulmonary arterial growth is required to facilitate repair.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120004278","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T06:32:25Z","timestamp":1607063545000},"page":"452-459","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Stenting of the right ventricular outflow tract as an initial intervention in Tetralogy of Fallot with pulmonary stenosis and major aortopulmonary collateral arteries"],"prefix":"10.1017","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7303-5808","authenticated-orcid":false,"given":"Mohammad","family":"Abumehdi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Sasikumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milind","family":"Chaudhari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinay","family":"Bhole","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Botha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetan","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Stumper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"S1047951120004278_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70113-2"},{"key":"S1047951120004278_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-304155"},{"key":"S1047951120004278_ref17","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.003979"},{"key":"S1047951120004278_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.08.082"},{"key":"S1047951120004278_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.06.023"},{"key":"S1047951120004278_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.03.026"},{"key":"S1047951120004278_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2019.09.025"},{"key":"S1047951120004278_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.01.007"},{"key":"S1047951120004278_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s40949-017-0005-7"},{"key":"S1047951120004278_ref16","first-page":"1985","article-title":"Right ventricular outflow tract stent versus BT shunt palliation in Tetralogy of Fallot","volume":"103","author":"Quandt","year":"2017","journal-title":"Heart."},{"key":"S1047951120004278_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(96)00044-7"},{"key":"S1047951120004278_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004952"},{"key":"S1047951120004278_ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.117.006979"},{"key":"S1047951120004278_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.05.057"},{"key":"S1047951120004278_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38300-X"},{"key":"S1047951120004278_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.03.153"},{"key":"S1047951120004278_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.02.030"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120004278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T09:56:33Z","timestamp":1662717393000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120004278\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["S1047951120004278"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120004278","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,4]]},"assertion":[{"value":"\u00a9 The Author(s), 2020. 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