{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:43:23Z","timestamp":1787240603465,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Surgical repair of truncus arteriosus (TA) requires right ventricle-to-pulmonary artery continuity, achieved through either conduit-based (CB) reconstruction or a nonconduit-based (NCB) approach. As the optimal right ventricular outflow tract (RVOT) strategy is still debatable, we conducted a meta-analysis to compare outcomes.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A systematic literature search was performed focusing on studies that compared CB and NCB RVOT reconstruction techniques for the primary correction of TA. Statistical analyses were conducted using RevMan 8.13.0, with effect estimates reported as odds ratios (ORs) and mean differences, along with 95% confidence intervals (CIs).\n                    <jats:bold>Results:<\/jats:bold>\n                    We included seven studies comprising 360 patients, with 174 neonates (48.3%) allocated to the CB group. No significant difference was observed in early mortality [OR 0.61; 95% CI 0.13-2.92;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.43;\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    \u00b2\u2009=\u200943%] or long-term mortality [OR 1.22; 95% CI 0.09-17.23;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.83;\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    \u00b2\u2009=\u200978%] between CB and NCB RVOT reconstruction techniques. However, the incidence of RVOT reoperation [OR 3.70; 95% CI 2.02-6.76;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.003;\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    \u00b2\u2009=\u20090%] and the overall reintervention rate, including both surgical and catheter-based interventions, were higher in the CB cohort [OR 2.45; 95% CI 1.33-4.52;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.01;\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    \u00b2\u2009=\u20090%].\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    While CB and NCB approaches yield similar early and long-term survival outcomes, CB reconstruction is associated with a significantly higher risk of RVOT reoperation and overall reintervention. These findings suggest that NCB approaches may offer superior long-term durability, reducing the need for subsequent interventions in neonates undergoing primary repair of TA.\n                  <\/jats:p>","DOI":"10.1177\/21501351251396531","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:03:37Z","timestamp":1770228217000},"page":"627-637","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Right Ventricular Outflow Tract Reconstruction in Truncus Arteriosus\u2014With or Without a Conduit? A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3563-4211","authenticated-orcid":false,"given":"Kristine","family":"Santos","sequence":"first","affiliation":[{"name":"New Vision University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bezalel","family":"Hakkeem","sequence":"additional","affiliation":[{"name":"Government Medical College Kozhikode"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hellen","family":"Pereira","sequence":"additional","affiliation":[{"name":"University of Messina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalia","family":"Schettino Samad","sequence":"additional","affiliation":[{"name":"New York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mislav","family":"Planinc","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Centre Zagreb"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-022-02956-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.21470\/1678-9741-2022-0029"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivaa025"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.10.018"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00717-5"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70346-X"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1789-0"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.03.062"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2010.01125.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-024-02356-6"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"issue":"4","key":"e_1_3_3_14_2","first-page":"719","article-title":"Statistical aspects of the analysis of data from retrospective studies of disease","volume":"22","author":"Mantel N","year":"1959","unstructured":"Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22(4):719-748.","journal-title":"J Natl Cancer Inst"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"issue":"5","key":"e_1_3_3_18_2","article-title":"20-year follow-up and comparison of valved conduits used for right ventricular outflow tract reconstruction: single-centre, propensity score match analysis","volume":"37","author":"Sabateen F","year":"2023","unstructured":"Sabateen F, Soj\u00e1k V, Nagi AS, Valent\u00edk P, \u0160ag\u00e1t M, Nos\u00e1l M. 20-year follow-up and comparison of valved conduits used for right ventricular outflow tract reconstruction: single-centre, propensity score match analysis. 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