{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:27:33Z","timestamp":1790908053819,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rashkind balloon atrial septostomy (<jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>) can be challenging in infants with hypoplastic left heart syndrome (<jats:styled-content style=\"fixed-case\">HLHS<\/jats:styled-content>) and small atrial septal defect (<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed all infants with <jats:styled-content style=\"fixed-case\">HLHS<\/jats:styled-content> who underwent surgery and <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> between January 2006 and December 2015. The infants were divided into three groups: no <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>; catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>; and open <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>. Infants who underwent catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> were divided into two groups based on atrial septal anatomy: standard and complex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 70 patients, 57 (81%) underwent Glenn surgery. Subsequently, a significant difference in survival was observed: 86% (44\/51), 91% (10\/11), and 25% (2\/8) in the no <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>, catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>, and open <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> groups, respectively (<jats:italic>P<\/jats:italic> = 0.0002). No significant difference was seen between the no <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> and the catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> groups (<jats:italic>P<\/jats:italic> = 1.0). In the 56 patients who underwent catheterization after surgery, no intergroup differences in mean pulmonary artery pressure, pulmonary vascular resistance, or pulmonary artery index were found. We classified catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> into standard (<jats:italic>n<\/jats:italic> = 5) and complex (<jats:italic>n<\/jats:italic> = 5) based on <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> location, and septum thickness. All patients in the standard group underwent complete Rashkind <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>, but in the complex group, only one patient underwent complete Rashkind <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>, with the remaining requiring initial static <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0.048). Following septostomy, <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> size, <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> flow, and percutaneous oxygen saturation (SpO<jats:sub>2<\/jats:sub>) were not significantly different between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Catheter <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content> is effective in infants with <jats:styled-content style=\"fixed-case\">HLHS<\/jats:styled-content> and a restrictive atrial septum. Infants with standard or complex atrial septum can achieve equivalent outcomes despite more patients often requiring static <jats:styled-content style=\"fixed-case\">BAS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.13716","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T14:53:54Z","timestamp":1539960834000},"page":"339-344","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Balloon atrial septostomy in hypoplastic left heart syndrome with restrictive atrial septum"],"prefix":"10.1111","volume":"61","author":[{"given":"Yosuke","family":"Fukushima","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maiko","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiko","family":"Kurita","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Eitoku","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Shigemitsu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Hirai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirokazu","family":"Tsukahara","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuo","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Kasahara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Kotani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Okayama University Hospital Kita Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38300-X"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21673"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.2008.02731.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(02)73575-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00225-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-012-0625-9"},{"key":"e_1_2_7_8_1","first-page":"II456","article-title":"Restrictive atrial septal communication as a determinant of outcome of cardiac transplantation for hypoplastic left heart syndrome","volume":"88","author":"Canter CE","year":"1993","journal-title":"Circulation"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-001-0038-7"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.02.002"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.11.029"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.084616"},{"key":"e_1_2_7_13_1","first-page":"5160","article-title":"Treatment strategy toward Fontan completion in hypoplastic left heart syndrome","volume":"29","author":"Kasahara S","year":"2013","journal-title":"Pediatr. 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