{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T13:20:05Z","timestamp":1783084805888,"version":"3.54.6"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"unspecified","delay-in-days":58,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126111652_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Interatrial stenting has become an essential intervention for children with CHD requiring sustained interatrial communication to optimise systemic and pulmonary haemodynamics. This study aimed to evaluate procedural success, clinical outcomes, and factors influencing haemodynamic improvement in a single-centre paediatric cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111652_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective study was conducted on 16 patients who underwent interatrial stenting between 2018 and 2024. Patients were categorised by age as Group 1 (\u226412 months,\n                      <jats:italic>n<\/jats:italic>\n                      = 10) and Group 2 (&gt;12 months,\n                      <jats:italic>n<\/jats:italic>\n                      = 6). Demographic, procedural parameters, and follow-up data were analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111652_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Sixteen patients (median age 10.5 months, median weight 5.0 kg) underwent interatrial stenting. The most frequent diagnosis was borderline left ventricle (37.5%), followed by hypoplastic left heart syndrome (25%) and myocarditis (12.5%). Procedural success was achieved in 15 of 16 patients (93.8%), with one acute failure due to stent embolisation. The median radiation exposure was 244.5 mGy (interquartile range 123.8\u2013447.0). Radiation exposure correlated positively with patient weight (r\n                      <jats:sub>s<\/jats:sub>\n                      = 0.596,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.015). During a median follow-up of 17.5 months, six patients (37.5%) died, and two required redilation. No stent thrombosis occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111652_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Interatrial stenting is a safe and effective palliative intervention for paediatric CHD, providing significant haemodynamic improvement and bridging to definitive surgical management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126111652","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:03:12Z","timestamp":1779274992000},"page":"380-385","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["The role of interatrial stenting in the management of CHD"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2394-5771","authenticated-orcid":false,"given":"Mehmet","family":"Balci","sequence":"first","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7319-4139","authenticated-orcid":false,"given":"Sezen","family":"Ugan Atik","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3812-2081","authenticated-orcid":false,"given":"Selman","family":"Gokalp","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erman","family":"Cilsal","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Sahin","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Recep Siyar","family":"Balik","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sertac","family":"Haydin","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1924-9036","authenticated-orcid":false,"given":"Alper","family":"Guzeltas","sequence":"additional","affiliation":[{"name":"Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"S1047951126111652_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-019-1118-8"},{"key":"S1047951126111652_ref4","doi-asserted-by":"publisher","DOI":"10.3126\/njh.v17i1.28808"},{"key":"S1047951126111652_ref5","doi-asserted-by":"publisher","DOI":"10.3329\/cardio.v13i1.50570"},{"key":"S1047951126111652_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16166"},{"key":"S1047951126111652_ref2","doi-asserted-by":"publisher","DOI":"10.5543\/tkda.2011.01368"},{"key":"S1047951126111652_ref7","doi-asserted-by":"publisher","DOI":"10.2174\/011871529X320825240925073605"},{"key":"S1047951126111652_ref12","doi-asserted-by":"publisher","DOI":"10.1586\/14779072.3.2.261"},{"key":"S1047951126111652_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2006.00022.x"},{"key":"S1047951126111652_ref9","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.149516"},{"key":"S1047951126111652_ref8","first-page":"1294","article-title":"Stenting of the inter-atrial septum in infants and small children: indications, techniques and outcomes","volume":"91","author":"Mainzer","year":"2018","journal-title":"Catheter Cardio Interv"},{"key":"S1047951126111652_ref11","first-page":"408","article-title":"Reliable atrial septostomy by stenting of the atrial septum","volume":"66","author":"Danon","year":"2005","journal-title":"Catheter Cardio Interv"},{"key":"S1047951126111652_ref10","first-page":"259","article-title":"Initial experience with the cook formula balloon expandable stent in congenital heart disease","volume":"85","author":"Quandt","year":"2015","journal-title":"Catheter Cardio Interv"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126111652","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T12:36:51Z","timestamp":1783082211000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126111652\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1047951126111652"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126111652","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}