Evidence map›Paper›PMID 38321557›Full record

ArticleJournal of cardiothoracic surgery2024

Bidirectional glenn surgery without palliative pulmonary artery banding in univentricular heart with unrestricted pulmonary flow. Retrospective multicenter experience.

Gaser A Abdelmohsen, Hala A Gabel, Rawan M Alamri, Ahmed Baamer, Osman O Al-Radi, Aliaa Binyamin, Ahmed A Jamjoom, Ahmed F Elmahrouk, Saud A Bahaidarah, Naif A Alkhushi and 10 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Gaser A AbdelmohsenPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia. gaser_abdelmohsen81@yahoo.com.
Hala A GabelPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Rawan M AlamriCardiac Surgery Division, Department of Surgery, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Ahmed BaamerPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Osman O Al-RadiCardiac Surgery Division, Department of Surgery, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Aliaa BinyaminPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Ahmed A JamjoomDivision of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah, 21499, Saudi Arabia.
Ahmed F ElmahroukDivision of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah, 21499, Saudi Arabia.
Saud A BahaidarahPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Naif A AlkhushiPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Mohamed H AbdelsalamPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Hossam IbrahimPediatric Cardiology Division, Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, 99 El-Manial St., Cairo, 11451, Egypt.
Ahmed R ElakabyPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Adeep KhawajiDepartment of Pediatrics, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Abdullah AlghobaishiDepartment of Pediatrics, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Khadijah A MaghrabiPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Zaher F ZaherPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Jameel A Al-AtaPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Ahmad S AzharPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.
Ahmed M DohainPediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough pulmonary artery banding (PAB) has been generally acknowledged as an initial palliative treatment for patients having single ventricle (SV) physiology and unrestrictive pulmonary blood flow (UPBF), it may result in unfavorable outcomes. Performing bidirectional Glenn (BDG) surgery without initial PAB in some selected cases may avoid the complications associated with PAB and reduce the number of operative procedures for these patients. This research aimed to assess the outcome of BDG surgery performed directly without doing initial PAB in patients with SV-UPBF.

methodsThis Multicenter retrospective cohort includes all patients with SV-UPBF who had BDG surgery. Patients were separated into two groups. Patients in Group 1 included patients who survived till they received BDG (20 Patients) after initial PAB (28 patients), whereas patients in Group 2 got direct BDG surgery without first performing PAB (16 patients). Cardiac catheterization was done for all patients before BDG surgery. Patients with indexed pulmonary vascular resistance (PVRi) ≥ 5 WU.m

resultsCompared with patients who had direct BDG surgery, PAB patients had a higher cumulative mortality rate (32% vs. 0%, P = 0.016), with eight deaths after PAB and one mortality after BDG. There were no statistically significant differences between the patient groups who underwent BDG surgery regarding pulmonary vascular resistance, pulmonary artery pressure, postoperative usage of sildenafil or nitric oxide, intensive care unit stay, or hospital stay after BDG surgery. However, the cumulative durations in the intensive care unit (ICU) and hospital were more prolonged in patients with BDG after PAB (P = 0.003, P = 0.001respectively).

conclusionDirect BDG surgery without the first PAB is related to improved survival and shorter hospital stays in some selected SV-UPBF patients.

Indexed as

Fontan ProcedureHeart Defects, CongenitalUniventricular HeartHeart VentriclesHumansInfantPalliative CarePulmonary ArteryRetrospective StudiesTreatment OutcomeBidirectional GlennPulmonary artery bandingSingle ventricleUnrestrictive pulmonary flow

Identifiers

PMID38321557
PMCPMC10845678

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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.