{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T07:23:58Z","timestamp":1793777038824,"version":"4.6.1"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"DOI":"10.1186\/s12872-025-04816-3","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T07:03:03Z","timestamp":1761116583000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Balloon dilation of the para-device space to alleviate severe flow restriction in an oversized pulmonary flow restrictor: a case report"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":false,"given":"Raymond N.","family":"Haddad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Faraji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Adel","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Al Soufi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Kasem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"4816_CR1","doi-asserted-by":"publisher","first-page":"1150579","DOI":"10.3389\/fcvm.2023.1150579","volume":"10","author":"RN Haddad","year":"2023","unstructured":"Haddad RN, Bentham J, Adel Hassan A, Al Soufi M, Jaber O, El Rassi I, Kasem M. Outcomes of manually modified microvascular plugs to pulmonary flow restrictors in various congenital heart lesions. Front Cardiovasc Med. 2023;10:1150579. https:\/\/doi.org\/10.3389\/fcvm.2023.1150579.","journal-title":"Front Cardiovasc Med"},{"issue":"12","key":"4816_CR2","doi-asserted-by":"publisher","first-page":"e013383","DOI":"10.1161\/CIRCINTERVENTIONS.123.013383","volume":"16","author":"F Sperotto","year":"2023","unstructured":"Sperotto F, Lang N, Nathan M, Kaza A, Hoganson DM, Valencia E, Odegard K, Allan CK, da Cruz EM, Del Nido PJ, Emani SM, Baird C, Maschietto N. Transcatheter palliation with pulmonary artery flow restrictors in neonates with congenital heart disease: feasibility, outcomes, and comparison with a historical hybrid stage 1 cohort. Circ Cardiovasc Interv. 2023;16(12):e013383. https:\/\/doi.org\/10.1161\/CIRCINTERVENTIONS.123.013383.","journal-title":"Circ Cardiovasc Interv"},{"issue":"6","key":"4816_CR3","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.1007\/s00246-021-02626-w","volume":"42","author":"S Nageotte","year":"2021","unstructured":"Nageotte S, Shahanavaz S, Eghtesady P, Balzer D. Total transcatheter stage 1: A word of caution. Pediatr Cardiol. 2021;42(6):1410\u20135. https:\/\/doi.org\/10.1007\/s00246-021-02626-w.","journal-title":"Pediatr Cardiol"},{"key":"4816_CR4","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/j.xjon.2024.11.011","volume":"23","author":"RN Haddad","year":"2024","unstructured":"Haddad RN, Bentham J, Pardo C, Alloush R, Al Soufi M, Jaber O, Kasem M, El Rassi I. Surgical removal of pulmonary flow restrictors in children with congenital heart disease: what the outcomes reveal. JTCVS Open. 2024;23:235\u201344. https:\/\/doi.org\/10.1016\/j.xjon.2024.11.011.","journal-title":"JTCVS Open"},{"issue":"3","key":"4816_CR5","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s00270-018-2106-x","volume":"42","author":"CR Bailey","year":"2019","unstructured":"Bailey CR, Arun A, Towsley M, Choi WK, Betz JF, MacKenzie S, Areda MA, Duvvuri M, Mitchell S, Weiss CR. MVP\u2122 Micro vascular plug systems for the treatment of pulmonary arteriovenous malformations. Cardiovasc Intervent Radiol. 2019;42(3):389\u201395. https:\/\/doi.org\/10.1007\/s00270-018-2106-x.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"7","key":"4816_CR6","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1007\/s00380-021-02007-6","volume":"37","author":"RN Haddad","year":"2022","unstructured":"Haddad RN, Bonnet D, Malekzadeh-Milani S. Embolization of vascular abnormalities in children with congenital heart diseases using medtronic micro vascular plugs. Heart Vessels. 2022;37(7):1271\u201382. https:\/\/doi.org\/10.1007\/s00380-021-02007-6.","journal-title":"Heart Vessels"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-025-04816-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12872-025-04816-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-025-04816-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T07:03:04Z","timestamp":1761116584000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-025-04816-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,22]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4816"],"URL":"https:\/\/doi.org\/10.1186\/s12872-025-04816-3","relation":{},"ISSN":["1471-2261"],"issn-type":[{"value":"1471-2261","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,22]]},"assertion":[{"value":"17 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This work adheres to the ethical standards of the 1964 Declaration of Helsinki and its amendments. IRB approval (HCE-2024-07011000) was obtained, along with informed consent from the parents for their child\u2019s participation in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient\u2019s parents\u2019 informed consent was obtained for the publication of study data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"757"}}