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- W2513372010 abstract "We aimed to study the feasibility and outcomes of transvenous approach for arterial duct stenting in patients with pulmonary atresia-ventricular septal defect. Duct-dependent hypoxic patients with pulmonary atresia-ventricular septal defect and the confluent pulmonary artery branches were enrolled for ductal stenting and followed-up regularly. Twenty-three patients, with median age of 25 days (1 to 545 days) and weight of 2.8 kg (2.1 to 7.2 kg) were enrolled. Mean baseline arterial oxygen saturation was 69.38 ± 8.04%. Median right pulmonary artery and left pulmonary artery Z-scores were − 1.53 (− 4.19 to 2.48) and − 1.08 (− 8.03 to 3.0) respectively. Mean narrowest ductal diameter was 1.81 ± 0.57 mm and length was 13.63 ± 3.52 mm. Total 26 stents with mean diameter of 4.23 ± 0.29 mm and length of 14.88 ± 3.65 mm were deployed. Post-stenting mean arterial oxygen saturation increased significantly from baseline-value to 89.44 ± 4.86% (p < 0.0001). One patient suffered pulmonary edema. At median follow-up of 8 months (3 to 10 months), mean arterial oxygen saturation (78.82 ± 8.49%) was significantly higher than baseline value of 69.38 ± 8.04% (p = 0.0004). Median right and left pulmonary artery Z-scores were 0.39 (− 2.76 to 2.88) and − 0.02 (− 2.06 to 3.86) respectively. Five patients required re-intervention (shunt in 2 and angioplasty in 3 patients). Three patients died, one due to sepsis and another two with worsened cyanosis. Transvenous ductal stenting is an effective palliation in patients with pulmonary atresia-ventricular septal defect obviating the limitations of arterial approach." @default.
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- W2513372010 date "2016-12-01" @default.
- W2513372010 modified "2023-09-25" @default.
- W2513372010 title "Transvenous arterial duct stenting in cyanotic patients with pulmonary atresia and ventricular septal defect" @default.
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- W2513372010 doi "https://doi.org/10.1016/j.ppedcard.2016.08.017" @default.
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