The Fate of the Jailed Branch: Challenging the Dogma of PDA Stenting in Cases with a Pulmonary Artery Branch Originating from the PDA.

Mercy Ng'eno, Brent M Gordon, Rohit Rao, Justin R Ryan, Jessica Haley, Srujan Ganta, John Nigro, Howaida El-Said

Abstract read

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.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mercy Ng'enoDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

Brent M GordonDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

Rohit RaoDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

Justin R RyanHelen and Will Webster Foundation 3D Innovations Lab, Rady Children's Hospital, San Diego, CA, USA.

Jessica HaleyDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

Srujan GantaDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

John NigroDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.

Howaida El-SaidDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA. helsaid@health.ucsd.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patent ductus arteriosus (PDA) stenting is evolving as the preferred method for establishing stable pulmonary blood flow in cyanotic infants, offering lower mortality, faster recovery, and shorter hospital stays. However, stenting may lead to branch pulmonary artery (BPA) jailing, potentially restricting blood flow to the jailed branch. This study analyzes patient characteristics, cardiovascular anatomy, stenting techniques, and outcomes involving BPA jailing where the BPA originates from the PDA, with a focus on the growth of the jailed BPA. A retrospective review was conducted of infants with duct-dependent pulmonary blood flow who underwent PDA stenting at Rady Children's Hospital San Diego from 2013 to 2024. Of 70 infants, 22 (31%) experienced BPA jailing due to the BPA originating from the PDA. The median age and weight at stenting were 9.5 days and 3275 g, with PDA as the sole source of pulmonary blood flow in 72% of cases. PDA type III was the most prevalent (77%). The jailed BPA showed significant distal growth (mean Nakata index increase of 117.35 mm

Indexed as

Ductus Arteriosus, PatentPulmonary ArteryStentsFemaleHumansInfantInfant, NewbornMalePulmonary CirculationRetrospective StudiesIsolated branch pulmonary arteriesLPA stenosisPDA stent complicationspulmonary artery coarctation

Identifiers

PMID40316854

DOI10.1007/s00246-025-03874-w

PMCPMC13498651

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

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.