{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:37:36Z","timestamp":1787503056711,"version":"build-2736575974"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,1,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">In infants with ductal\u2010dependent pulmonary blood flow, the impact of palliation strategy on interstage growth and feeding regimen is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      This was a retrospective multicenter study of infants with ductal\u2010dependent pulmonary blood flow palliated with patent ductus arteriosus (\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      ) stent or Blalock\u2010Taussig shunt (\n                      <jats:styled-content style=\"fixed-case\">BTS<\/jats:styled-content>\n                      ) from 2008 to 2015. Subjects with a defined interstage, the time between initial palliation and subsequent palliation or repair, were included. Primary outcome was change in weight\u2010for\u2010age\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010score. Secondary outcomes included % of patients on: all oral feeds, feeding\u2010related medications, higher calorie feeds, and feeding\u2010related readmission. Propensity score was used to account for baseline differences. Subgroup analysis was performed in 1\u2010 (1V) and 2\u2010ventricle (2V) groups. The cohort included 66\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent (43.9% 1V) and 195\n                      <jats:styled-content style=\"fixed-case\">BTS<\/jats:styled-content>\n                      (54.4% 1V) subjects. Prematurity was more common in the\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent group (\n                      <jats:italic>P<\/jats:italic>\n                      =0.051). After adjustment, change in weight\u2010for\u2010age\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010score did not differ between groups over the entire interstage. However, change in weight\u2010for\u2010age\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010score favored\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent during the inpatient interstage (\n                      <jats:italic>P<\/jats:italic>\n                      =0.005) and\n                      <jats:styled-content style=\"fixed-case\">BTS<\/jats:styled-content>\n                      during the outpatient interstage (\n                      <jats:italic>P<\/jats:italic>\n                      =0.032). At initial hospital discharge,\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent treatment was associated with all oral feeds (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) and absence of feeding\u2010related medications (\n                      <jats:italic>P<\/jats:italic>\n                      =0.002). Subgroup analysis revealed that 2V but not 1V patients demonstrated significant increase in weight\u2010for\u2010age\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010score. In the 2V cohort, feeding\u2010related readmissions were more common in the\n                      <jats:styled-content style=\"fixed-case\">BTS<\/jats:styled-content>\n                      group (\n                      <jats:italic>P<\/jats:italic>\n                      =0.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      In infants with ductal\u2010dependent pulmonary blood flow who underwent palliation with\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent or\n                      <jats:styled-content style=\"fixed-case\">BTS<\/jats:styled-content>\n                      , there was no difference in interstage growth.\n                      <jats:styled-content style=\"fixed-case\">PDA<\/jats:styled-content>\n                      stent was associated with a simpler feeding regimen and fewer feeding\u2010related readmissions.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.119.013807","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T05:00:29Z","timestamp":1576731629000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Impact of Palliation Strategy on Interstage Feeding and Somatic Growth for Infants With Ductal\u2010Dependent Pulmonary Blood Flow: Results from the Congenital Catheterization Research Collaborative"],"prefix":"10.1161","volume":"9","author":[{"given":"George T.","family":"Nicholson","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Pediatrics Vanderbilt University School of Medicine Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Glatz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics The Cardiac Center Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athar M.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Lillie Frank Abercrombie Section\u00a0of Cardiology Department of Pediatrics Texas Children's Hospital Baylor College of Medicine Houston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Petit","sequence":"additional","affiliation":[{"name":"Sibley Heart Center Cardiology Department of Pediatrics Children's Healthcare of Atlanta Emory University School of Medicine Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery J.","family":"Meadows","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics University of California San Francisco School of Medicine San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"McCracken","sequence":"additional","affiliation":[{"name":"Sibley Heart Center Cardiology Department of Pediatrics Children's Healthcare of Atlanta Emory University School of Medicine Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kelleman","sequence":"additional","affiliation":[{"name":"Sibley Heart Center Cardiology Department of Pediatrics Children's Healthcare of Atlanta Emory University School of Medicine Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Bauser\u2010Heaton","sequence":"additional","affiliation":[{"name":"Sibley Heart Center Cardiology Department of Pediatrics Children's Healthcare of Atlanta Emory University School of Medicine Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ari J.","family":"Gartenberg","sequence":"additional","affiliation":[{"name":"Department of Pediatrics The Cardiac Center Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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