ArticleClinical research in cardiology : official journal of the German Cardiac Society2016
Bronchial compression following pulmonary artery stenting in single ventricle lesions: how to prevent, and how to decompress.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Airway Management in Fontan Patients with LPA Stenosis.Journal of cardiovascular development and disease · 2026Article
- Pulmonary Artery Stent Molding Using a Rigid Bronchoscope: A Case Report.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- Bronchoscopy in the Pediatric Cardiovascular Patient with Persistent Respiratory Pathology.Journal of clinical medicine · 2025Article
- Multidisciplinary approach to vascular rings and vascular-related aerodigestive compression: a clinical practice review.Translational pediatrics · 2023Review
- Possible effects of left pulmonary artery stenting in single ventricle patients on bronchial area, lung volume and lung function.Frontiers in pediatrics · 2023Article
- Personalized Interventions: A Reality in the Next 20 Years or Pie in the Sky.Pediatric cardiology · 2020Review
- Feasibility of airway segmentation from three-dimensional rotational angiography.Cardiology journal · 2020Article
- When left turns to right: a congenital corrected transposition of the great arteries with an azygos continuation without another major cardiac abnormality.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Article
- A rare cause of wheezing in a child with pulmonary atresia.Annals of cardiac anaesthesiaArticle
- Bronchial compression as adverse effect of right pulmonary artery stenting in a patient with truncus arteriosus communis and interrupted aortic arch.Annals of pediatric cardiologyArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo assess airway compression during pulmonary artery (PA) intervention in single ventricle (SV) palliation.
backgroundSV lesions with a prominent neo-aortic root are considered a high risk for branch PA and/or bronchial stenosis. PA stenting is well established, but may result in ipsilateral bronchial compression.
methodsSingle-centre retrospective analysis of 19 palliated SV patients with branch PA stenosis and close proximity to the ipsilateral main bronchus who underwent cardiac catheterisation at a median age and weight of 8.5 years (0.5-25) and 16.5 kg (6-82) between 12/2011 and 05/2015.
resultsTwo of the 19 patients suffered an almost-closed left-main bronchus (LMB) following PA stenting. Fortunately, LMB decompression succeeded in both those patients by re-shaping the PA stents by compressing the chest while splinting the LMB with an inflated balloon. To prevent the other 17 patients from suffering this serious complication, we adopted a thorough preparation strategy: 13 patients underwent safe simultaneous bronchoscopy and cardiac catheterisation; in the remaining 4 patients CT-angiography enabled accurate risk evaluation prior to re-catheterisation.
conclusionsIn SV lesions accompanied by branch PA stenosis, thorough preparation via cross-sectional imaging is mandatory, including simultaneous bronchoscopy and cardiac catheterisation in selected cases, to rule out any airway compression before considering endovascular stent implantation. If a PA stent's compression has already caused severe bronchial obstruction, our balloon-splinted decompression technique should be considered.
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