Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Objectives: This study aimed to investigate the impact of left pulmonary artery stenting on outcomes after Fontan procedure in patients with single ventricle physiology.
Methods: Patients who underwent staged Fontan palliation between 1994 and 2023 were reviewed. The records of patients who had left pulmonary artery stents implanted were analysed, and their impact on outcomes after Fontan completion was evaluated.
Results: Among 601 patients who underwent staged Fontan completion during the study period, 64 patients (10.6%) had a left pulmonary artery stent implanted (19 before Glenn and 49 before Fontan). Patients with a left pulmonary artery stent exhibited higher pulmonary artery pressure (10 vs 9 mmHg, P = 0.005) and smaller left pulmonary artery diameter (5.7 vs 6.6 mm, P = 0.002) before Fontan. The left pulmonary artery stenting group had longer cardiopulmonary bypass times (75 vs 62 min, P = 0.006) and a higher incidence of prolonged effusion (17.2% vs 9.5%, P = 0.049) at Fontan. Long-term follow-up revealed higher rates of reintervention of the left pulmonary artery (P = 0.001), plastic bronchitis (P = 0.007) and failing Fontan (P = 0.008) in the patients with left pulmonary artery stenting compared to those without. Hypoplastic left heart syndrome (odds ratio = 2.65, P = 0.008) and patent ductus arteriosus stenting (odds ratio = 4.03, P = 0.002) were identified as independent risk factors for the need for left pulmonary artery stenting.
Conclusions: A left pulmonary artery stent had been implanted in 10.6% of patients before Fontan completion. Left pulmonary artery stenting does not adversely affect survival but affects in-hospital morbidities and late morbidities of reintervention, plastic bronchiolitis, and failing Fontan.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/ejcts/ezaf157 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Asymptomatic ALCAPA with Preserved Myocardial Function in a 3-Year-Old Child.
Pediatr Cardiol
September 2025
Pediatric Cardiology Unit, University Hospital of Geneva, Geneva, Switzerland.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. Its clinical course is typically severe in infancy, leading to left ventricular ischemia, cardiogenic shock, and high mortality without surgical intervention.We describe a rare case of a 3-year-old girl diagnosed with ALCAPA, showing extensive right-to-left collaterals, preserved left ventricular function, and minimal myocardial injury.
View Article and Find Full Text PDFExplainable Machine Learning for Estimating the Contrast Material Arrival Time in Computed Tomography Pulmonary Angiography.
J Thorac Imaging
September 2025
Department of Radiology, the Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University.
Purpose: To establish an explainable machine learning (ML) approach using patient-related and noncontrast chest CT-derived features to predict the contrast material arrival time (TARR) in CT pulmonary angiography (CTPA).
Materials And Methods: This retrospective study included consecutive patients referred for CTPA between September 2023 to October 2024. Sixteen clinical and 17 chest CT-derived parameters were used as inputs for the ML approach, which employed recursive feature elimination for feature selection and XGBoost with SHapley Additive exPlanations (SHAP) for explainable modeling.
Removal of a Central Venous Catheter Impacted in the Peripheral Pulmonary Artery Using a Balloon Catheter.
Interv Radiol (Higashimatsuyama)
August 2025
Department of Radiology, Mie University Hospital, Japan.
Disruption of the central venous port catheter was identified on the chest radiograph of a 36-year-old woman who had undergone chemotherapy following resection of her colon cancer. Computed tomography revealed that the catheter was impacted in the peripheral pulmonary artery. Instead of using a snare wire, a balloon catheter was inserted into the lumen of the disrupted catheter due to its tight lodging in the pulmonary artery.
View Article and Find Full Text PDFEffectiveness of Active Cycle of Breathing Technique in Improving Physiological and Functional Outcomes Following Coronary Artery Bypass Graft Surgery: A Narrative Review.
J Multidiscip Healthc
September 2025
Department of Physical Medicine and Rehabilitation, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.
Coronary artery bypass grafting (CABG) is a common surgical approach for advanced coronary artery disease unresponsive to conservative or percutaneous treatments. Despite its benefits in symptom relief and long-term outcomes, CABG is associated with notable postoperative respiratory complications. As such, respiratory physiotherapy plays a crucial role in recovery.
View Article and Find Full Text PDFObesity and Venous Thromboembolism: Mechanisms, Clinical Implications, and Prevention Strategies With a Focus on Bariatric Surgery.
J Metab Bariatr Surg
August 2025
Division of Gastrointestinal Surgery, Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Venous thromboembolism (VTE), comprising deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), constitutes a significant global health concern due to its substantial morbidity and mortality, especially among hospitalized and surgical individuals. DVT commonly presents in the lower extremities with symptoms such as calf pain, swelling potentially spreading to the ankle and foot, localized warmth, and skin discoloration. PTE, arising from acute pulmonary artery obstruction by a thrombus, frequently manifests as sudden dyspnea, chest pain, tachycardia, diaphoresis, hemoptysis, and lightheadedness, posing a life-threatening emergency demanding prompt medical intervention.
View Article and Find Full Text PDF