Trial reportAmerican heart journal2011
Practice variability and outcomes of coil embolization of aortopulmonary collaterals before Fontan completion: a report from the Pediatric Heart Network Fontan Cross-Sectional Study.
Trial report in American heart journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health-Related Quality of Life in Children, Adolescents, and Adults With a Fontan Circulation: A Meta-Analysis.Journal of the American Heart Association · 2020Pooled it
- Benefits of Coiling Aorto-Pulmonary Collaterals in Children with Complex Congenital Heart Diseases.Pediatric cardiology · 2026Article
- Preoperative myocardial strain, mesenteric resistance, and aortopulmonary collateral flow are associated with pleural effusion duration after fontan completion.Frontiers in pediatrics · 2026Article
- Surgical cleaning of aortopulmonary collateral vessels from subclavian arteries during the pre-Fontan phase.JTCVS techniques · 2024Article
- Pulmonary Vascular Sequelae of Palliated Single Ventricle Circulation: Arteriovenous Malformations and Aortopulmonary Collaterals.Journal of cardiovascular development and disease · 2022Review
- Aortopulmonary collaterals in single ventricle: incidence, associated factors and clinical significance.Interactive cardiovascular and thoracic surgery · 2022Article
- Aortopulmonary Collaterals in Single Ventricle Physiology: Variation in Understanding Occlusion Practice Among Interventional Cardiologists.Pediatric cardiology · 2020Article
- Differences in Pulmonary and Systemic Flow Measurements by Cardiac Magnetic Resonance vs Cardiac Catheterization and Relation to Collateral Flow in Single Ventricle Patients.Pediatric cardiology · 2020Article
- Determination of the Frequency of Right and Left Internal Mammary Artery Embolization in Single Ventricle Patients: A Two-Center Study.Pediatric cardiology · 2018Article
- Routine Cardiac Catheterization Prior to Fontan Operation: Is It a Necessity?Pediatric cardiology · 2018Article
- Variations in Practice Patterns and Consistency With Published Guidelines for Balloon Aortic and Pulmonary Valvuloplasty: An Analysis of Data From the IMPACT Registry.JACC. Cardiovascular interventions · 2018Article
- Durable Benefit of Particle Occlusion of Systemic to Pulmonary Collaterals in Select Patients After Superior Cavopulmonary Connection.Pediatric cardiology · 2018Article
- Frequency of Mammary Artery Coiling in Single-Ventricle Patients and Future Coronary Artery Grafting.Pediatric cardiology · 2016Article
- Percutaneous interventions in Fontan circulation.International journal of cardiology. Heart & vasculature · 2015Article
- Coronary artery bypass grafting in single-ventricle patients palliated with Fontan procedure: future consideration.Pediatric cardiology · 2015Article
- Interventions after Norwood procedure: comparison of Sano and modified Blalock-Taussig shunt.Pediatric cardiology · 2013Article
- Article
- Relation of systemic-to-pulmonary artery collateral flow in single ventricle physiology to palliative stage and clinical status.The American journal of cardiology · 2012Article
- Transcatheter Interventions in Patients With Adult Congenital Heart Disease.Journal of the Society for Cardiovascular Angiography & InterventionsReview
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundThe practice of coiling aortopulmonary collaterals (APCs) before Fontan completion is controversial, and published data are limited. We sought to compare outcomes in subjects with and without pre-Fontan coil embolization of APCs using the Pediatric Heart Network Fontan Cross-Sectional Study database which enrolled survivors of prior Fontan palliation.
methodsWe compared hospital length of stay after Fontan in 80 subjects who underwent APC coiling with 459 subjects who did not. Secondary outcomes included post-Fontan complications and assessment of health status and ventricular performance at cross-sectional evaluation (mean 8.6 ± 3.4 years after Fontan).
resultsCenters varied markedly in frequency of pre-Fontan APC coiling (range 0%-30% of subjects, P < .001). The coil group was older at Fontan (P = .004) and more likely to have single right ventricular morphology (P = .054) and pre-Fontan atrioventricular valve regurgitation (P = .03). The coil group underwent Fontan surgery more recently (P < .001), was more likely to have a prior superior cavopulmonary anastomosis (P < .001), and more likely to undergo extracardiac Fontan connection (P < .001) and surgical fenestration (P < .001). In multivariable analyses, APC coiling was not associated with length of stay (hazard ratio for remaining in-hospital 0.91, 95% CI 0.70-1.18, P = .48) or postoperative complications, except more post-Fontan catheter interventions (hazard ratio 1.74, 95% CI 1.04-2.91, P = .03), primarily additional APC coils. The groups had similar outcomes at cross-sectional evaluation.
conclusionManagement of APCs before Fontan shows marked practice variation. We did not find an association between pre-Fontan coiling of APCs and shorter postoperative hospital stay or with better late outcomes. Prospective studies of this practice are needed.
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