{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T09:04:56Z","timestamp":1774688696840,"version":"3.50.1"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Residual stenosis after right ventricle outflow tract surgery represents a major issue to manage in the children and adult patient with conotruncal defects. Despite a detailed multimodality imaging, the anatomy of distal pulmonary trunk and pulmonary artery bifurcation may be challenging in these patients.<\/jats:p><jats:p>The aim of this study was to analyse retrospectively the outcome of the percutaneous transcatheter treatment in children with post-surgical stenosis of pulmonary artery bifurcation.<\/jats:p><jats:p>We enrolled 39 patients with a median age of 6.0 years. Standard high-pressure balloon dilation was attempted in 33 patients, effective in 5 of them. Pulmonary branch stenting was performed in 10 patients, effective in 6. A kissing balloon approach was chosen in 17 patients (6 after angioplasty or stenting failure), and this technique was effective in 16 cases. Finally, a bifurcation stenting was performed in 10 patients (second step in 9 cases), effective in all the cases. None of the patients approached by kissing balloon needed a bifurcation stenting.<\/jats:p><jats:p>In conclusion, standard balloon angioplasty and standard stenting might be ineffective in post-surgical stenosis involving pulmonary artery bifurcation. In this population, kissing balloon or bifurcation stenting, followed by side branch de-jailing, may be more effective in relieving the gradient.<\/jats:p>","DOI":"10.1017\/s1047951123000999","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T05:58:16Z","timestamp":1683179896000},"page":"24-31","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Percutaneous approach to residual pulmonary bifurcation stenosis in conotruncal diseases"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-6798","authenticated-orcid":false,"given":"Biagio","family":"Castaldi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Di Candia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Cuppini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6444-2292","authenticated-orcid":false,"given":"Domenico","family":"Sirico","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Reffo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Padalino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimiro","family":"Vida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Di Salvo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"S1047951123000999_ref28","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.5.1144"},{"key":"S1047951123000999_ref29","first-page":"803","article-title":"Kissing balloon inflation in percutaneous coronary interventions","volume":"5","author":"Sgueglia","year":"2012","journal-title":"JACC: Cardiovasc Interv"},{"key":"S1047951123000999_ref14","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I5A97"},{"key":"S1047951123000999_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24954"},{"key":"S1047951123000999_ref23","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.961029"},{"key":"S1047951123000999_ref15","first-page":"e698","article-title":"2018 AHA\/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"139","author":"Stout","year":"2018","journal-title":"Circulation"},{"key":"S1047951123000999_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.03.037"},{"key":"S1047951123000999_ref26","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.134.2.7352213"},{"key":"S1047951123000999_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2020.09.014"},{"key":"S1047951123000999_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21838"},{"key":"S1047951123000999_ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.112.968610"},{"key":"S1047951123000999_ref27","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.157.3.2932769"},{"key":"S1047951123000999_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12726"},{"key":"S1047951123000999_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.05.044"},{"key":"S1047951123000999_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25956"},{"key":"S1047951123000999_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa501"},{"key":"S1047951123000999_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.01.025"},{"key":"S1047951123000999_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.068"},{"key":"S1047951123000999_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezw290"},{"key":"S1047951123000999_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2020.02.001"},{"key":"S1047951123000999_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90204-E"},{"key":"S1047951123000999_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24654"},{"key":"S1047951123000999_ref19","first-page":"33","article-title":"Pulmonary artery stenting","volume":"8","author":"Zablah","year":"2019","journal-title":"Interv Cardiol Clin"},{"key":"S1047951123000999_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27094"},{"key":"S1047951123000999_ref13","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31821b1f10"},{"key":"S1047951123000999_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951119003032"},{"key":"S1047951123000999_ref3","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2001.115230"},{"key":"S1047951123000999_ref7","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1002\/ccd.23025","article-title":"A novel technique for stenting pulmonary artery and conduit bifurcation stenosis","volume":"78","author":"Stumper","year":"2011","journal-title":"Cathet Cardiovasc Intervent"},{"key":"S1047951123000999_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)01203-0"},{"key":"S1047951123000999_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-012-0439-9"},{"key":"S1047951123000999_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.03.100"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951123000999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T12:50:04Z","timestamp":1737982204000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951123000999\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,4]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["S1047951123000999"],"URL":"https:\/\/doi.org\/10.1017\/s1047951123000999","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,4]]},"assertion":[{"value":"\u00a9 University of Padua, 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}