{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T08:27:13Z","timestamp":1778660833879,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T00:00:00Z","timestamp":1531267200000},"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":["Pediatric Transplantation"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transcatheter stent implantation for SVC obstruction following OHT has been well described, particularly in pediatric patients. This study describes a large single\u2010center pediatric heart transplant experience that investigates the risk factors for SVC stenosis requiring stent implantation and its associated outcomes. All pediatric OHTs between January 1, 2000, and December 12, 2016, were examined for risk factors. Twelve of 349 (3.4%) OHTs required SVC stent implantation. Patients who required stents were younger (2.5\u00a0years vs 10.0\u00a0years, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0097), weighed less (8.6\u00a0kg vs 26.0\u00a0kg, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0024), and were more likely to have had CHD (83% vs 32%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.001) or previous SCPA (58% vs 18%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). Bicaval anastomosis was not associated with subsequent SVC stent implantation. Symptoms included SVC syndrome and chylous effusions. All 12 patients had evidence of significant SVC obstruction by both echocardiographic Doppler interrogation and transcatheter angiography. There were no acute procedural complications; however, reinterventions were common (four of 12 patients) and occurred at a mean of 5.7\u00a0\u00b1\u00a03.6\u00a0months poststent implantation. In conclusion, transcatheter SVC stent implantation is safe and effective after OHT. There were significant associations between SVC stent implantation and younger age, smaller weight, CHD, and history of SCPA, but not with bicaval anastomosis or donor\u2010recipient weight ratio.<\/jats:p>","DOI":"10.1111\/petr.13267","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T09:18:16Z","timestamp":1531300696000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Transcatheter stenting of superior vena cava obstruction after pediatric heart transplantation: A single\u2010center experience assessing risk factors and outcomes"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9632-4725","authenticated-orcid":false,"given":"Arash","family":"Salavitabar","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan N.","family":"Flyer","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics The Robert Larner, M.D. College of Medicine at The University of Vermont  Burlington Vermont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro J.","family":"Torres","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5491-8085","authenticated-orcid":false,"given":"Marc E.","family":"Richmond","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew A.","family":"Crystal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariel E.","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Chai","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery Division of Cardiac, Thoracic, and Vascular Surgery New York\u2010Presbyterian Morgan Stanley Children's Hospital Columbia University Medical 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