Evidence map›Paper›PMID 38182891›Full record

ArticlePediatric cardiology2024

Utility of Balloon Occlusion Testing in Determining Fontan Suitability Among Patients with Elevated Pulmonary Artery Pressure and Additional Antegrade Pulmonary Blood Flow.

Ibrahim Halil Demir, Ahmet Celebi, Dursun Muhammed Ozdemir, Emine Hekim Yilmaz, Mustafa Orhan Bulut, Murat Surucu, Oktay Korun, Numan Ali Aydemir, Ilker Kemal Yucel

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Article in Pediatric cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Ibrahim Halil DemirDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-9079-9818
Ahmet CelebiDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-5490-0296
Dursun Muhammed OzdemirDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-0286-0501
Emine Hekim YilmazDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-5333-4336
Mustafa Orhan BulutDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-0125-0787
Murat SurucuDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-7012-6579
Oktay KorunDepartment of Pediatric Cardiovascular Surgery, Istanbul University-Cerrahpasa, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-5776-6993
Numan Ali AydemirDepartment of Pediatric Cardiovascular Surgery, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-9276-1979
Ilker Kemal YucelDepartment of Pediatric Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tıbbiye Street, No: 13 Uskudar, Istanbul, Turkey. ilkerkemalyucel@yahoo.com.ORCID https://orcid.org/0000-0002-4899-6025
Sağlık Bilimleri Üniversitesi · TRIstanbul University-Cerrahpaşa · TRÜsküdar University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In individuals with a single ventricle undergoing evaluation before Fontan surgery, the presence of excessive pulmonary blood flow can contribute to increased pulmonary artery pressure, notably in those who had a Glenn procedure with antegrade pulmonary flow. 28 patients who had previously undergone Glenn anastomosis with antegrade pulmonary blood flow (APBF) and with elevated mean pulmonary artery (mPAP) pressure > 15 mmHg in diagnostic catheter angiography were included in the study. After addressing other anatomical factors that could affect pulmonary artery pressure, APBF was occluded with semi-compliant, Wedge or sizing balloons to measure pulmonary artery pressure accurately. 23 patients (82% of the cohort) advanced to Fontan completion. In this group, median mPAP dropped from 20.5 (IQR 19-22) mmHg to 13 (IQR 12-14) mmHg post-test (p < 0.001). Median PVR post-test was 1.8 (IQR 1.5-2.1) WU m

Indexed as

Fontan ProcedureHeart Defects, CongenitalHumansPulmonary ArteryPulmonary CirculationRetrospective StudiesTreatment OutcomeFontanGlenn anastomosis with antegrade pulmonary blood flowPulmonary hypertensionTest occlusion

Identifiers

PMID38182891
OpenAlexW4390604970

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.