{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T05:10:29Z","timestamp":1779426629012,"version":"3.53.1"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125109359_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Right ventricular outflow tract stenting is a palliative treatment option in symptomatic infants with tetralogy of Fallot or with pulmonary atresia with ventricular septal defect. Predominantly bare metal stents are used for this procedure. The authors sought to assess the efficacy and safety of using the covered coronary stent grafts for the right ventricular outflow tract stenting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109359_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Between November 2017 and July 2021, the covered coronary stent graft was used to widen the right ventricular outflow tract in 20 symptomatic patients (pulmonary atresia with ventricular septal defect\n                      <jats:italic>n<\/jats:italic>\n                      = 5, tetralogy of Fallot\n                      <jats:italic>n<\/jats:italic>\n                      = 15).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109359_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All stent grafts were implanted successfully. The median time of palliation was 156 (43\u20131578) days. Eleven patients required stent redilation. Fifteen patients required additional stent implantation to relieve a proximal obstruction in the right ventricular outflow tract. There were three complications observed: right ventricular outflow tract perforation (\n                      <jats:italic>n<\/jats:italic>\n                      = 1), stent embolisation (\n                      <jats:italic>n<\/jats:italic>\n                      = 1), and main pulmonary aneurysm (\n                      <jats:italic>n<\/jats:italic>\n                      = 1). Oxygen saturation improved immediately after the procedure. During the follow-up time, all stents were patent, and we observed a significant increase in the diameters of the pulmonary arteries. Sixteen patients had corrective surgery performed with complete and easy removal of the implanted stents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109359_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Stenting of the right ventricular outflow tract with stent grafts was safe and effective and provided a durable method of palliation. Utilisation of the covered coronary stent graft facilitated surgical removal of the implanted stent during the surgical correction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125109359","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T07:16:00Z","timestamp":1758784560000},"page":"2119-2125","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Covered stents for implantation into the right ventricular outflow tract in infants with tetralogy of Fallot\/pulmonary atresia with ventricular septal defect"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8494-4943","authenticated-orcid":false,"given":"Rafa\u0142","family":"Surmacz","sequence":"first","affiliation":[{"name":"Technical University of Munich"},{"name":"Poznan University of Medical Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janez","family":"Vodiskar","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Tanase","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanimir","family":"Georgiev","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4110-7694","authenticated-orcid":false,"given":"Matthias","family":"Sigler","sequence":"additional","affiliation":[{"name":"Georg-August University G\u00f6ttingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Ewert","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2716-1424","authenticated-orcid":false,"given":"J\u00fcrgen","family":"H\u00f6rer","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Eicken","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6228-3550","authenticated-orcid":false,"given":"Katarzyna Karolina","family":"Gendera","sequence":"additional","affiliation":[{"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"S1047951125109359_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.10.068"},{"key":"S1047951125109359_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117001883"},{"key":"S1047951125109359_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2020.100643"},{"key":"S1047951125109359_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/15910199000060S127"},{"key":"S1047951125109359_ref19","first-page":"383","article-title":"Biocompatibility screening in cardiovascular implants","volume":"94","author":"Sigler","year":"2005","journal-title":"Clin Res Cardiol"},{"key":"S1047951125109359_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.06.023"},{"key":"S1047951125109359_ref17","unstructured":"17. Dyar, D. Z-scores of cardiac structures. Published August 10, 2023. Accessed June 9, 2024. https:\/\/parameterz.blogspot.com\/z-scores-of-cardiac-structures.html."},{"key":"S1047951125109359_ref9","doi-asserted-by":"publisher","DOI":"10.4103\/apc.apc_231_21"},{"key":"S1047951125109359_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38300-X"},{"key":"S1047951125109359_ref28","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.003979"},{"key":"S1047951125109359_ref31","first-page":"1015","article-title":"Radiofrequency perforation of the right ventricular outflow tract as a palliative strategy for pulmonary atresia with ventricular septal defect","volume":"69","author":"Walsh","year":"2007","journal-title":"Catheter Cardiovasc Interv"},{"key":"S1047951125109359_ref30","first-page":"150","article-title":"Serial dilation and intentional fracturing of stents in congenital heart disease - benchside tests and initial clinical results","volume":"105","author":"Gendera","year":"2025","journal-title":"Catheter Cardiovasc Interv"},{"key":"S1047951125109359_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.14031"},{"key":"S1047951125109359_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(200002)190:3<300::AID-PATH596>3.0.CO;2-I"},{"key":"S1047951125109359_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951115002231"},{"key":"S1047951125109359_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt188"},{"key":"S1047951125109359_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.06.097"},{"key":"S1047951125109359_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120004278"},{"key":"S1047951125109359_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.03.042"},{"key":"S1047951125109359_ref33","first-page":"105","article-title":"Anomalous coronary artery in tetralogy of Fallot\u2014Feasibility of right ventricular outflow tract stenting as initial palliation","volume":"100","author":"Afifi","year":"2022","journal-title":"Catheter Cardiovasc Interv"},{"key":"S1047951125109359_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951123000896"},{"key":"S1047951125109359_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01406-1"},{"key":"S1047951125109359_ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0796-z"},{"key":"S1047951125109359_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.135723"},{"key":"S1047951125109359_ref32","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12552"},{"key":"S1047951125109359_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.12.048"},{"key":"S1047951125109359_ref21","first-page":"48","volume-title":"Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual","volume":"25","author":"Qureshi","year":"2022"},{"key":"S1047951125109359_ref15","first-page":"53","article-title":"Covered stents for treating aortoiliac occlusive disease","volume":"4","author":"Kwa","year":"2011","journal-title":"Endovasc Today"},{"key":"S1047951125109359_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2018.06.020"},{"key":"S1047951125109359_ref8","first-page":"1","article-title":"Stenting of the right ventricular outflow tract as primary palliation for fallot-type lesions","volume":"1","author":"Quandt","year":"2017","journal-title":"J Congenit Cardiol"},{"key":"S1047951125109359_ref2","doi-asserted-by":"publisher","DOI":"10.3390\/hearts2020022"},{"key":"S1047951125109359_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12198"},{"key":"S1047951125109359_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2016-310620"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125109359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T05:00:06Z","timestamp":1779426006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125109359\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":33,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["S1047951125109359"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125109359","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. 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 (https:\/\/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"}]}}