A Comparison of Ductal Stenting and Surgical Shunts for Infants with Duct-Dependent Pulmonary Blood Flow: The Impact of Single Versus Biventricular Repair Pathways on Outcomes.

Nicholas Fitzgerald, Paul Adams, Jonathan Mervis, Annabel Webb, Philip Roberts, Julian Ayer

Abstract readComparative Study

In one paragraph

Article in Pediatric cardiology, 2026. 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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0citing papers in PubMed

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1 · What the graph read from it

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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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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nicholas FitzgeraldThe Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia. fitzgerald_nicholas@hotmail.com.

Paul AdamsThe Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia.

Jonathan MervisThe Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia.

Annabel WebbFaculty of Health Sciences, Discipline of Paediatrics and Child Health, The University of Sydney, Sydney, NSW, Australia.

Philip RobertsThe Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia.

Julian AyerThe Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ductal stenting (DS) is an alternative to the Blalock-Taussig-Thomas Shunt (BTTS) as initial palliation for congenital heart disease with duct-dependent pulmonary blood flow (DDBPF). We sought to analyze the impact of intended single ventricle (SV) and biventricular (BiV) repair pathways on the outcome of DS and BTTS in infants with DDPBF. A single-center, retrospective comparison of infants with DDPBF who underwent either DS (2012-2022) or BTTS procedures (2013-2017). Primary outcomes included all-cause mortality and risk of unplanned re-intervention. Participants were divided into four groups: 1.SV with DS, 2.SV with BTTS, 3.BiV with DS, and 4.BiV with BTTS. Fifty-one DS (SV 45%) and 86 BTTS (SV 49%) procedures were undertaken. For those who had DS, mortality was lower in the BiV compared to SV patients (BiV: 0/28, versus SV: 4/23, p = 0.04). Compared to BiV DS, BiV BTTS had a higher risk of combined death or unplanned re-intervention (HR 4.28; CI 1.25-14.60; p = 0.02). In SV participants, there was no difference for either primary outcome based on procedure type. DS was associated with shorter intensive care length of stay for SV participants (mean difference 5 days, p = 0.01) and shorter intensive care and hospital stay for BiV participants (mean difference 11 days for both outcomes, p = 0.001). There is a survival benefit for DS in BiV participants compared with DS in SV and BTTS in BiV participants. Ductal stenting is associated with a shorter intensive care and hospital length of stay.

Indexed as

Blalock-Taussig ProcedureDuctus Arteriosus, PatentHeart Defects, CongenitalHeart VentriclesPulmonary CirculationStentsFemaleHumansInfantInfant, NewbornMalePalliative CareRetrospective StudiesTreatment OutcomeBlalock–Taussig–Thomas ShuntCatheter interventionDuctal stentDuct-dependent pulmonary blood flow (DDPBF)Patent ductus arteriosus (PDA)Single ventricle

Identifiers

PMID38953954

DOI10.1007/s00246-024-03549-y

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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.