{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T10:26:09Z","timestamp":1793701569985,"version":"4.5.1"},"reference-count":0,"publisher":"Sultan Qaboos University","issue":"5","license":[{"start":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:00:00Z","timestamp":1701302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sultan Qaboos University Medical Journal"],"abstract":"<jats:p>Objectives: There is limited data published from outside North America and Europe comparing the outcomes of a modified Blalock-Taussig shunt (MBTS) and ductal stenting as the first palliative procedure for infants with duct-dependent pulmonary circulation. This study reports the National Heart Center\u2019s, in Muscat, Oman, experience in comparing the outcomes of these 2 interventions. Methods: This retrospective study included all infants with duct-dependent pulmonary circulation who received either a MBTS or ductal stenting from 2016\u20132019. The primary outcomes were death or re-interventions. Secondary outcomes included death, subsequent re-interventions, survival to subsequent surgical intervention, survival to hospital discharge, post-procedural mechanical ventilation and duration of intensive care unit stay. Results: A total of 71 patients were included in the study, 33 (46%) of whom received ductal stenting. The prevalence of the primary outcome (death or re-intervention) in the patent ductus arteriosus (PDA) stent group was 54.5% versus 31.6% in the MBTS group but this was not statistically significant (P = 0.06). There was no difference between the 2 groups in terms of time to next surgical intervention (P = 0.233). The PDA stent group had shorter post-procedural, mechanical ventilation and intensive care unit stay durations (P &lt;0.05). Syndromic patients were at higher risk of mortality compared to non-syndromic patients. Conclusion: MBTS and ductal stenting are both acceptable modalities as a palliative intervention for infants with duct-dependant pulmonary circulation. Syndromic patients are at higher risk of mortality. This can be considered an important factor for patient selection.<\/jats:p>","DOI":"10.18295\/squmj.12.2023.073","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T22:23:13Z","timestamp":1701555793000},"page":"10-15","source":"Crossref","is-referenced-by-count":8,"title":["Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation"],"prefix":"10.18295","volume":"23","author":[{"given":"Hamood","family":"Al Kindi","sequence":"first","affiliation":[{"name":"Department of Surgery, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman; Department of Cardiothoracic Surgery, National Heart Center, Royal Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasina","family":"Al Harthi","sequence":"additional","affiliation":[{"name":"Training and Studies Department, Royal Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asim","family":"Al Balushi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlam","family":"Atiq","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samiuddin","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, The Royal Hospital, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Al Alawi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Al-Farqani","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7681","published-online":{"date-parts":[[2023,11,30]]},"container-title":["Sultan Qaboos University Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.squ.edu.om\/index.php\/squmj\/article\/download\/6160\/3959","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.squ.edu.om\/index.php\/squmj\/article\/download\/6160\/3959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T09:31:47Z","timestamp":1793698307000},"score":1,"resource":{"primary":{"URL":"https:\/\/mjournal.squ.edu.om\/home\/vol23\/iss5\/3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,30]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,11,30]]}},"URL":"https:\/\/doi.org\/10.18295\/squmj.12.2023.073","relation":{},"ISSN":["2075-0528"],"issn-type":[{"value":"2075-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,30]]}}}