{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T05:06:24Z","timestamp":1764133584632,"version":"3.40.5"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:00:00Z","timestamp":1663113600000},"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951122002918_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Although pulmonary artery banding remains a useful palliation in bi-ventricular shunting lesions, single-stage repair holds several advantages. We investigate outcomes of the former approach in high-risk patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122002918_as2\"><jats:title>Methods:<\/jats:title><jats:p>Retrospective cohort study including all pulmonary artery banding procedures over 9 years, excluding single ventricle physiology and left ventricular training.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122002918_as3\"><jats:title>Results:<\/jats:title><jats:p>Banding was performed in 125 patients at a median age of 41 days (2\u2013294) and weight of 3.4 kg (1.8\u20137.32). Staged repair was undertaken for significant co-morbidity in 81 (64.8%) and anatomical complexity in 44 (35.2%). The median hospital stay was 14 days (interquartile range 8\u201333.5) and 14 patients (11.2%) required anatomical repair before discharge. Nine patients died during the initial admission (hospital mortality 7.2 %) and five following discharge (inter-stage mortality 4.8%). Of 105 banded patients who survived, 19 (18.1%) needed inter-stage re-admission and 18 (14.4%) required unplanned re-intervention. Full repair was performed in 93 (74.4%) at a median age of 13 months (3.1\u201349.9) and weight of 8.5 kg (3.08\u201316.8). Prior banding, 54% were below the 0.4th weight centile, but only 28% remained so at repair. Post-repair, 5\/93 (5.4%) developed heart block requiring permanent pacemaker, and 11\/93 (11.8%) required unplanned re-intervention. The post-repair mortality (including repairs during the initial admission) was 6\/93 (6.5%), with overall mortality of the staged approach 13.6% (17\/125).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122002918_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>In a cohort with a high incidence of co-morbidity, pulmonary artery banding is associated with a significant risk of re-intervention and mortality. Weight gain improves after banding, but heart block, re-intervention, and mortality remain frequent following repair.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951122002918","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T08:05:03Z","timestamp":1663142703000},"page":"1627-1633","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Pulmonary artery banding: still a role for staged bi-ventricular repair of intracardiac shunts?"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7236-225X","authenticated-orcid":false,"given":"Ahmed R. S. A.","family":"Afifi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna N.","family":"Seale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milind","family":"Chaudhari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha E.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Stumper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Botha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"S1047951122002918_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03900-0"},{"key":"S1047951122002918_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.07.106"},{"key":"S1047951122002918_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.03.108"},{"key":"S1047951122002918_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/2150135119859882"},{"key":"S1047951122002918_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2011.05.053"},{"key":"S1047951122002918_ref3","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.225.255"},{"key":"S1047951122002918_ref1","first-page":"213","article-title":"The treatment of certain malformations of the heart by the creation of pulmonic stenosis to reduce pulmonary hypertension and excessive pulmonary blood flow: a preliminary report","volume":"95","author":"Muller","year":"1952","journal-title":"Surg Gynecol Obstet"},{"key":"S1047951122002918_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.10.013"},{"key":"S1047951122002918_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.08.007"},{"key":"S1047951122002918_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64866-7"},{"key":"S1047951122002918_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.12.050"},{"key":"S1047951122002918_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.11.111"},{"key":"S1047951122002918_ref13","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2018.03.006"},{"key":"S1047951122002918_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.05.095"},{"key":"S1047951122002918_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.08.093"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951122002918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T07:10:28Z","timestamp":1695625828000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951122002918\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,14]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S1047951122002918"],"URL":"https:\/\/doi.org\/10.1017\/s1047951122002918","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2022,9,14]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. 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