Evidence map›Paper›PMID 38748885›Full record

ArticleBrazilian journal of cardiovascular surgery2024

Comparative Analysis of Modified BT Shunt and Central Shunt in Pediatric Patients.

Mustafa Yilmaz, Başak Soran Turkcan, Ata Niyazi Ecevit, Yasemin Özdemir Şahan, Atakan Atalay

Abstract readComparative Study
In one paragraph

Article in Brazilian journal of cardiovascular surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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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

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Mustafa YilmazDepartment of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID 0000-0002-3212-2673
Başak Soran Turkcan0000-0002-3212-2673.
Ata Niyazi Ecevit0000-0002-3212-2673.
Yasemin Özdemir ŞahanDepartment of Pediatric Cardiology, Ankara Bilkent City Hospital, Ankara, Turkey.
Atakan AtalayDepartment of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCyanotic congenital heart diseases constitute 40-45% of all congenital heart diseases. In patients who are not suitable for primary repair, modified BT (MBT) shunt and central shunt (CS) procedures are still frequently used.

methodsThis study included 62 pediatric patients who underwent MBT shunt or CS via median sternotomy. Patients' demographic, echocardiographic, operative, and postoperative data were collected retrospectively. The patients were classified as single ventricle and bi-ventricle according to their cardiac anatomy, and the presence of prematurity and heterotaxy was noted. Procedure details of the patients who underwent endovascular intervention prior to the surgery were investigated, and operation data were accessed from the surgery notes. Data regarding postoperative follow-ups were obtained and comparatively analyzed.

resultsOf the total 62 patients, 32 (51.6%) were newborns and 16 (25.8%) had a body weight < 3 kg. MBT shunt was applied to 48 patients (77.4%), while CS was applied to 14 patients (22.6%). There was no significant difference between the two surgical procedures in terms of requirement for urgent shunt or cardiopulmonary bypass, additional simultaneous surgical intervention, need for high postoperative inotropes, and in-hospital mortality (P>0.05). The rate of congestive heart failure in patients with in-hospital mortality was determined as 66.7% and it was significantly higher than in patients without heart failure (P<0.001).

conclusionMBT shunt and CS are still frequently used in cyanotic patients. The use of small-diameter shunts, particularly when centrally located, can prevent the onset of congestive heart failure and lower mortality.

Indexed as

Heart Defects, CongenitalChildChild, PreschoolCyanosisEchocardiographyFemaleHospital MortalityHumansInfantInfant, NewbornMaleRetrospective StudiesTreatment OutcomeCardiopulmonary BypassChildCongenital Heart DefectsHeart FailureHospital MortalityInfantNewbornSternotomy

Identifiers

PMID38748885
PMCPMC11099994

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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.