{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:49:52Z","timestamp":1760298592836},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,9,10]],"date-time":"2012-09-10T00:00:00Z","timestamp":1347235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the usefulness of a new approach to atrial septal puncture and septostomy in patients with end\u2010stage pulmonary hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrial septostomy in end\u2010stage pulmonary hypertension has high mortality and morbidity rates mainly due to trans\u2010septal catheterization. New approaches to safety during this technical step are expected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twelve patients with end\u2010stage pulmonary arterial hypertension (5 males, 7 females, mean age 41, 9 \u00b1 12, 0 years) underwent to balloon atrial septostomy. Intracardiac echography (ICE) was used to localize fossa ovalis while a radiofrequency wire was used to perforate the atrial septum. Then a septostomy was performed by progressive balloon dilatation of atrial septum. Septal perforation was successful at the first attempt in 4 patients and after 5 attempts in a single case, while Bas was successful in all.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pericardial effusion did not develop in any patient. Complications consisted in transient supraventricular tachyarrhythmia, transient cerebral ischemia and severe hypoxemia with ventricular tachycardia in 3 single patients. In\u2010procedure death rate was 0%. Systemic cardiac output increased immediately, while systemic O2 saturation decreased significantly in all. Mean follow\u2010up was 8, 2 \u00b1 3, 8 months. Mortality was 16, 6% (2 patients). NYHA class improved in the rest of patients. Four patients (33, 2%) underwent to pulmonary transplant successfully.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This novel approach for trans\u2010septal catheterization has shown very low rate of major complication during atrial septostomy in patients with end\u2010stage pulmonary arterial hypertension. (J Interven Cardiol 2013;26:62\u201368)<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1540-8183.2012.00759.x","type":"journal-article","created":{"date-parts":[[2012,9,10]],"date-time":"2012-09-10T07:00:59Z","timestamp":1347260459000},"page":"62-68","source":"Crossref","is-referenced-by-count":13,"title":["Atrial Septostomy in Patients with End\u2010Stage Pulmonary Hypertension. No More Needles but Wires, Energy and Close Anatomical Definition"],"prefix":"10.1111","volume":"26","author":[{"given":"ROBERTO","family":"BAGLINI","sequence":"first","affiliation":[{"name":"From the IsMeTT University of Pittsburgh European Center Palermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-115-5-343"},{"key":"e_1_2_8_3_1","first-page":"100","article-title":"Comparison of the hemodynamics and survival of adults with primary pulmonary hypertension or Eisenmenger syndrome","volume":"15","author":"Hopkins WE","year":"1996","journal-title":"J Heart Lung Transplant"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2674"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-5231(05)70293-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-1227"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.58.9.797"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.02.019"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2006.02.002"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-006-0329-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2007.00622.x"}],"container-title":["Journal of Interventional Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8183.2012.00759.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8183.2012.00759.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T11:43:24Z","timestamp":1700653404000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8183.2012.00759.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,10]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1111\/j.1540-8183.2012.00759.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8183.2012.00759.x","archive":["Portico"],"relation":{},"ISSN":["0896-4327","1540-8183"],"issn-type":[{"value":"0896-4327","type":"print"},{"value":"1540-8183","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,10]]}}}