Pulmonary artery interventions after Norwood procedure: does type or position of shunt predict need for intervention?
Pulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or position in the Norwood procedure is associated with the risk of the development of pulmonary artery stenosis. We examined the risk of pulmonary...
Uloženo v:
| Vydáno v: | The Journal of thoracic and cardiovascular surgery Ročník 145; číslo 6; s. 1485 |
|---|---|
| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
01.06.2013
|
| Témata: | |
| ISSN: | 1097-685X, 1097-685X |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Pulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or position in the Norwood procedure is associated with the risk of the development of pulmonary artery stenosis. We examined the risk of pulmonary artery stenosis and the need for pulmonary artery intervention in children undergoing the Norwood procedure with either the right ventricle to pulmonary artery conduit or modified Blalock-Taussig shunt.
A retrospective review was performed of all patients who underwent the Norwood procedure from January 1, 2003, to September 1, 2011. The data from 100 patients were reviewed, including catheterization and echocardiographic data, right ventricle to pulmonary artery conduit (n = 67, right shunt position in 17 and left in 50), and right ventricle to pulmonary artery (n = 33). The primary outcome measure was the need for operative or catheter-based pulmonary artery intervention.
No patients in the right ventricle to pulmonary artery group required catheterization-based pulmonary artery interventions. Surgical pulmonary arterioplasty was performed frequently and equally in both the right ventricle to pulmonary artery and right ventricle to pulmonary artery groups at the bidirectional Glenn procedure. Catheter-based pulmonary arterioplasty was performed more frequently in the right ventricle to pulmonary artery conduit group, especially when the conduit was positioned to the right side of the neoaorta. These patients had a 12.73 increased odds of a pulmonary artery intervention compared with the left to right ventricle to pulmonary artery conduit (P = .04).
Consistent with a previous multicenter randomized trial, patients who received a right ventricle to pulmonary artery conduit versus a right ventricle to pulmonary artery have a greater risk of requiring pulmonary artery interventions. Patients with right ventricle to pulmonary artery conduit placement to the right underwent a greater number of pulmonary artery interventions but demonstrated overall improved growth of the branch pulmonary arteries compared with the patients receiving a left-sided right ventricle to pulmonary artery conduit. |
|---|---|
| AbstractList | Pulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or position in the Norwood procedure is associated with the risk of the development of pulmonary artery stenosis. We examined the risk of pulmonary artery stenosis and the need for pulmonary artery intervention in children undergoing the Norwood procedure with either the right ventricle to pulmonary artery conduit or modified Blalock-Taussig shunt.
A retrospective review was performed of all patients who underwent the Norwood procedure from January 1, 2003, to September 1, 2011. The data from 100 patients were reviewed, including catheterization and echocardiographic data, right ventricle to pulmonary artery conduit (n = 67, right shunt position in 17 and left in 50), and right ventricle to pulmonary artery (n = 33). The primary outcome measure was the need for operative or catheter-based pulmonary artery intervention.
No patients in the right ventricle to pulmonary artery group required catheterization-based pulmonary artery interventions. Surgical pulmonary arterioplasty was performed frequently and equally in both the right ventricle to pulmonary artery and right ventricle to pulmonary artery groups at the bidirectional Glenn procedure. Catheter-based pulmonary arterioplasty was performed more frequently in the right ventricle to pulmonary artery conduit group, especially when the conduit was positioned to the right side of the neoaorta. These patients had a 12.73 increased odds of a pulmonary artery intervention compared with the left to right ventricle to pulmonary artery conduit (P = .04).
Consistent with a previous multicenter randomized trial, patients who received a right ventricle to pulmonary artery conduit versus a right ventricle to pulmonary artery have a greater risk of requiring pulmonary artery interventions. Patients with right ventricle to pulmonary artery conduit placement to the right underwent a greater number of pulmonary artery interventions but demonstrated overall improved growth of the branch pulmonary arteries compared with the patients receiving a left-sided right ventricle to pulmonary artery conduit. Pulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or position in the Norwood procedure is associated with the risk of the development of pulmonary artery stenosis. We examined the risk of pulmonary artery stenosis and the need for pulmonary artery intervention in children undergoing the Norwood procedure with either the right ventricle to pulmonary artery conduit or modified Blalock-Taussig shunt.OBJECTIVESPulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or position in the Norwood procedure is associated with the risk of the development of pulmonary artery stenosis. We examined the risk of pulmonary artery stenosis and the need for pulmonary artery intervention in children undergoing the Norwood procedure with either the right ventricle to pulmonary artery conduit or modified Blalock-Taussig shunt.A retrospective review was performed of all patients who underwent the Norwood procedure from January 1, 2003, to September 1, 2011. The data from 100 patients were reviewed, including catheterization and echocardiographic data, right ventricle to pulmonary artery conduit (n = 67, right shunt position in 17 and left in 50), and right ventricle to pulmonary artery (n = 33). The primary outcome measure was the need for operative or catheter-based pulmonary artery intervention.METHODSA retrospective review was performed of all patients who underwent the Norwood procedure from January 1, 2003, to September 1, 2011. The data from 100 patients were reviewed, including catheterization and echocardiographic data, right ventricle to pulmonary artery conduit (n = 67, right shunt position in 17 and left in 50), and right ventricle to pulmonary artery (n = 33). The primary outcome measure was the need for operative or catheter-based pulmonary artery intervention.No patients in the right ventricle to pulmonary artery group required catheterization-based pulmonary artery interventions. Surgical pulmonary arterioplasty was performed frequently and equally in both the right ventricle to pulmonary artery and right ventricle to pulmonary artery groups at the bidirectional Glenn procedure. Catheter-based pulmonary arterioplasty was performed more frequently in the right ventricle to pulmonary artery conduit group, especially when the conduit was positioned to the right side of the neoaorta. These patients had a 12.73 increased odds of a pulmonary artery intervention compared with the left to right ventricle to pulmonary artery conduit (P = .04).RESULTSNo patients in the right ventricle to pulmonary artery group required catheterization-based pulmonary artery interventions. Surgical pulmonary arterioplasty was performed frequently and equally in both the right ventricle to pulmonary artery and right ventricle to pulmonary artery groups at the bidirectional Glenn procedure. Catheter-based pulmonary arterioplasty was performed more frequently in the right ventricle to pulmonary artery conduit group, especially when the conduit was positioned to the right side of the neoaorta. These patients had a 12.73 increased odds of a pulmonary artery intervention compared with the left to right ventricle to pulmonary artery conduit (P = .04).Consistent with a previous multicenter randomized trial, patients who received a right ventricle to pulmonary artery conduit versus a right ventricle to pulmonary artery have a greater risk of requiring pulmonary artery interventions. Patients with right ventricle to pulmonary artery conduit placement to the right underwent a greater number of pulmonary artery interventions but demonstrated overall improved growth of the branch pulmonary arteries compared with the patients receiving a left-sided right ventricle to pulmonary artery conduit.CONCLUSIONSConsistent with a previous multicenter randomized trial, patients who received a right ventricle to pulmonary artery conduit versus a right ventricle to pulmonary artery have a greater risk of requiring pulmonary artery interventions. Patients with right ventricle to pulmonary artery conduit placement to the right underwent a greater number of pulmonary artery interventions but demonstrated overall improved growth of the branch pulmonary arteries compared with the patients receiving a left-sided right ventricle to pulmonary artery conduit. |
| Author | Gist, Katja M Jaggers, James Crumback, Sheri L Schuchardt, Eleanor L Barrett, Cindy S Graham, Dionne A Erickson, Brian |
| Author_xml | – sequence: 1 givenname: Katja M surname: Gist fullname: Gist, Katja M email: gist.kat@gmail.com organization: Department of Pediatrics, Heart Institute, Children's Hospital Colorado, Aurora, Colo 80045, USA. gist.kat@gmail.com – sequence: 2 givenname: Cindy S surname: Barrett fullname: Barrett, Cindy S – sequence: 3 givenname: Dionne A surname: Graham fullname: Graham, Dionne A – sequence: 4 givenname: Sheri L surname: Crumback fullname: Crumback, Sheri L – sequence: 5 givenname: Eleanor L surname: Schuchardt fullname: Schuchardt, Eleanor L – sequence: 6 givenname: Brian surname: Erickson fullname: Erickson, Brian – sequence: 7 givenname: James surname: Jaggers fullname: Jaggers, James |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23398647$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkE1LxDAQhoOsuB_6CwTJ0UtrkjZJ40Vk8QsW9aDgrbTpBLu0ydqkK_vvjbjCwsAzAw8vwztHE-ssIHROSUoJFVfrdB301qeM0CwlNE5-hGaUKJmIgn9MDvYpmnu_JoRIQtUJmrIsU4XI5QyNr2PXO1sNO1wNASJaG7EFG1pnPa5MvPCzG76da_BmcBqacYBr3DjwOOw2gN2AN863vz52BvvP0YZoQtPqgC1Ag01UDmNvTtGxqToPZ3su0Pv93dvyMVm9PDwtb1eJ5lKGRHDdFLoSFZdU1UaqXAjBKAPGIedSF7TSvFDEEAY6Y4UplMlqZWRNOKGGsgW6_MuNj3-N4EPZt15D11UW3OhLmvGM5DljPKoXe3Wse2jKzdD2sZXyvyr2A4MZcP4 |
| CitedBy_id | crossref_primary_10_1093_icvts_ivv002 crossref_primary_10_1016_j_jtcvs_2019_03_123 crossref_primary_10_1007_s00246_015_1130_8 crossref_primary_10_1016_j_jtcvs_2019_07_154 crossref_primary_10_1155_2023_8534205 crossref_primary_10_1016_j_athoracsur_2013_12_005 crossref_primary_10_1016_j_ijcard_2017_10_040 crossref_primary_10_1017_S1047951117001688 crossref_primary_10_1093_ejcts_ezae035 crossref_primary_10_1093_ejcts_ezaf157 crossref_primary_10_1016_j_athoracsur_2018_03_011 crossref_primary_10_1016_j_jtcvs_2020_11_037 crossref_primary_10_1093_ejcts_ezz376 crossref_primary_10_1016_j_jtcvs_2016_11_007 crossref_primary_10_1093_ejcts_ezac117 crossref_primary_10_1016_j_jtcvs_2016_10_104 crossref_primary_10_1111_chd_12655 crossref_primary_10_1053_j_semtcvs_2020_05_028 crossref_primary_10_1053_j_semtcvs_2022_07_005 crossref_primary_10_1093_ejcts_ezaa188 crossref_primary_10_1111_chd_12299 crossref_primary_10_1016_j_athoracsur_2016_11_078 |
| ContentType | Journal Article |
| Copyright | Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
| Copyright_xml | – notice: Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/j.jtcvs.2013.01.014 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| EISSN | 1097-685X |
| ExternalDocumentID | 23398647 |
| Genre | Journal Article |
| GroupedDBID | --- --K .1- .55 .FO .GJ .XZ 0R~ 18M 1B1 1CY 1KJ 1P~ 1~5 354 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 AACTN AAEDT AAEDW AAEJM AAFWJ AALRI AAQFI AAQQT AAQXK AAXUO ABCQX ABJNI ABLJU ABMAC ABOCM ABPPZ ABWVN ACGFO ACRPL ACRZS ADBBV ADMUD ADNMO ADVLN AENEX AEVXI AFFNX AFJKZ AFRHN AFTJW AI. AITUG AJJEV AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMRAJ ASPBG AVWKF AZFZN BAWUL BELOY C45 C5W CAG CGR COF CS3 CUY CVF DIK DU5 EBS ECM EFJIC EIF EJD F5P FDB FEDTE FGOYB GBLVA HVGLF HZ~ IH2 IHE J1W J5H K-O KOM L7B M41 MO0 NPM NQ- O9- OA- OBH OHH OK1 OL. OVD P2P R2- RIG ROL RPZ SEL SES SEW SJN SSZ TEORI TR2 TWZ UDS UNMZH UV1 VH1 VVN W8F WH7 X7M XH2 YFH Z5R ZGI ZXP ZY1 ~S- 7X8 AAYWO ACVFH ADCNI AEUPX AFPUW AIGII AKBMS AKYEP EFKBS |
| ID | FETCH-LOGICAL-c577t-65cd8ca6a5719bf794666212e25e457c81ac5890f02ec328f89f3b9f7b0501f12 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 25 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000319066300028&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1097-685X |
| IngestDate | Thu Oct 02 06:04:44 EDT 2025 Thu Apr 03 06:59:16 EDT 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Language | English |
| License | Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c577t-65cd8ca6a5719bf794666212e25e457c81ac5890f02ec328f89f3b9f7b0501f12 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://dx.doi.org/10.1016/j.jtcvs.2013.01.014 |
| PMID | 23398647 |
| PQID | 1353044225 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1353044225 pubmed_primary_23398647 |
| PublicationCentury | 2000 |
| PublicationDate | 2013-06-01 |
| PublicationDateYYYYMMDD | 2013-06-01 |
| PublicationDate_xml | – month: 06 year: 2013 text: 2013-06-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | The Journal of thoracic and cardiovascular surgery |
| PublicationTitleAlternate | J Thorac Cardiovasc Surg |
| PublicationYear | 2013 |
| SSID | ssj0007019 |
| Score | 2.2138221 |
| Snippet | Pulmonary artery stenosis is a potential complication after Norwood palliation for hypoplastic left heart syndrome. It is unclear whether the shunt type or... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1485 |
| SubjectTerms | Blalock-Taussig Procedure Catheterization Chi-Square Distribution Coronary Angiography Echocardiography Female Fontan Procedure Humans Hypoplastic Left Heart Syndrome - surgery Infant, Newborn Logistic Models Male Norwood Procedures - adverse effects Pulmonary Artery - surgery Pulmonary Valve Stenosis - diagnosis Pulmonary Valve Stenosis - etiology Pulmonary Valve Stenosis - surgery Retrospective Studies Risk Factors Treatment Outcome |
| Title | Pulmonary artery interventions after Norwood procedure: does type or position of shunt predict need for intervention? |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/23398647 https://www.proquest.com/docview/1353044225 |
| Volume | 145 |
| WOSCitedRecordID | wos000319066300028&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3LSsQwFA3quHDjA1_jiwhug0nbNKmbQcTBhZZZqHQ3pGmCI9KOfQzM35ukLaMLQXDTTR-U5Db39N6TcwC4EoSl3MAOpGUkkPnfCJCIJEFMBpnWFEvpNtK-PrI45kkSTbqCW9XRKvs10S3UWSFtjfza-jPgIDDhN5p_IusaZburnYXGOhj4BsrYqGbJSi3cSo27bmfEUMhp0qsOOX7Xey0XVq-b-E63027j-Q1julwz3vnvW-6C7Q5lwts2LPbAmsr3QTNpPsx5US6hI3Iu4ewb4bGCzi4cxkVpaTjQZbasKdUNzApVQVurhUUJe5YXLDSs3pq8NlfaZk8Nc5MIocHAPx47OgAv4_vnuwfUuS4gSRmrUejkAkQoKCNRqp0AfWgSnPKoCiiTnAhJeYQ19pT0Pa55pP000izFFBNNvEOwkRe5OgZQEiWphynPDIpIuRIq1EyGRGHC04xnQ3DZj-LURLVtVYhcFU01XY3jEBy1UzGdt_IbU8_3raY8O_nD3adgy2v9KxAmZ2CgzTetzsGmXNSzqrxw4WKO8eTpC1UdzRE |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Pulmonary+artery+interventions+after+Norwood+procedure%3A+does+type+or+position+of+shunt+predict+need+for+intervention%3F&rft.jtitle=The+Journal+of+thoracic+and+cardiovascular+surgery&rft.au=Gist%2C+Katja+M&rft.au=Barrett%2C+Cindy+S&rft.au=Graham%2C+Dionne+A&rft.au=Crumback%2C+Sheri+L&rft.date=2013-06-01&rft.eissn=1097-685X&rft.volume=145&rft.issue=6&rft.spage=1485&rft_id=info:doi/10.1016%2Fj.jtcvs.2013.01.014&rft_id=info%3Apmid%2F23398647&rft_id=info%3Apmid%2F23398647&rft.externalDocID=23398647 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1097-685X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1097-685X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1097-685X&client=summon |