{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:34:01Z","timestamp":1786365241064,"version":"build-2736575974"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"unspecified","delay-in-days":18,"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":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126113663_as1\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Despite the effectiveness of the surgical or percutaneous treatment of coarctation of the aorta, the presence of hypertension in these patients remains a common and concerning issue. This study was undertaken to explore the relation between the severity of coarctation of the aorta and renal perfusion and to evaluate the role of renal scintigraphy as a predictive tool for clinical outcomes after percutaneous treatment of coarctation of the aorta.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113663_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Adult patients with coarctation of the aorta and concomitant arterial hypertension were enrolled in the study. Ambulatory 24-hour blood pressure monitoring, CT angiography, and a renal perfusion scan were performed, along with invasive pressure gradient measurements. Patients with invasive peak gradients \u226520mmHg and\/or a difference of \u226550% in diameter between the isthmus and the descending aorta at the diaphragmatic level were selected for percutaneous stent implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113663_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean time to peak change in renal scintigraphy after captopril did not significantly differ between the Medical group (\u22121.01 \u00b1 2.526 min. for the left kidney and \u22120.19 \u00b1 1.46 min. for the right kidney) and the Stent group (\u22120.59 \u00b1 1.188 min. for the left kidney and \u22120.17 \u00b1 1.461 min. for the right kidney) (\n                      <jats:italic>p<\/jats:italic>\n                      -values &gt; 0.05). No statistically significant changes in renal perfusion were observed between pre-and post-stent implantation measurements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113663_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this pilot study, no clear association was found between the degree of aortic narrowing and renal perfusion, and no measurable reduction in renal perfusion was detected. Stent implantation did not result in significant short-term changes in blood pressure. These findings are exploratory and require confirmation in larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126113663","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T09:03:31Z","timestamp":1781859811000},"page":"1249-1255","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the impact of residual coarctation of the aorta on renal perfusion"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7254-4099","authenticated-orcid":false,"given":"Sigitas","family":"Cesna","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03nadee84","id-type":"ROR","asserted-by":"publisher"}],"name":"Vilnius University Faculty of Medicine"},{"id":[{"id":"https:\/\/ror.org\/0590pq693","id-type":"ROR","asserted-by":"publisher"}],"name":"Vilnius University Hospital Santaros Klinikos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustinas","family":"Bielinis","sequence":"additional","affiliation":[{"name":"Vilnius University Hospital Santaros Klinikos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadas","family":"Zvirblis","sequence":"additional","affiliation":[{"name":"Vilnius University Faculty of Medicine"},{"name":"Vilnius University Faculty of Mathematics and Informatics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius","family":"Miglinas","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03nadee84","id-type":"ROR","asserted-by":"publisher"}],"name":"Vilnius University Faculty of Medicine"},{"name":"Vilnius University Hospital Santaros Klinikos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virgilijus","family":"Tarutis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03nadee84","id-type":"ROR","asserted-by":"publisher"}],"name":"Vilnius University Faculty of Medicine"},{"name":"Vilnius University Hospital Santaros Klinikos"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"S1047951126113663_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-009-1321-8"},{"key":"S1047951126113663_ref3","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.2.163"},{"key":"S1047951126113663_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2021.01.038"},{"key":"S1047951126113663_ref20","first-page":"846","article-title":"Quantitation of renal parenchymal retention of technetium-99m-MAG3 in renal transplants","volume":"35","author":"Li","year":"1994","journal-title":"J Nucl Med"},{"key":"S1047951126113663_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90503-P"},{"key":"S1047951126113663_ref23","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-307035"},{"key":"S1047951126113663_ref17","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":"2019","journal-title":"Circulation"},{"key":"S1047951126113663_ref10","first-page":"1876","article-title":"Consensus report on ACE inhibitor renography for detecting renovascular hypertension. 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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"}]}}