Evidence map›Paper›PMID 40323405›Full record

ArticlePediatric cardiology2026

The Wire Twisting/Locking Technique to Facilitate Precise PDA Stent Delivery in Neonates with Ductal-Dependent Pulmonary Blood Flow.

Marjan Hesari, Mercy Ng'eno, Brent M Gordon, Laith AlShawabkeh, Justin R Ryan, Clinton Fulk, Howaida El-Said

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Article in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  3. Review
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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

7 authors.

Marjan HesariDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Mercy Ng'enoDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Brent M GordonDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Laith AlShawabkehDepartment of Cardiology, University of California San Diego, La Jolla, CA, USA.
Justin R RyanHelen and Will Webster Foundation 3 d Innovations Lab, Rady Children'S Hospital, San Diego, CA, USA.
Clinton FulkRady Children'S Hospital Division of Cardiology, San Diego, San Diego, CA, USA.
Howaida El-SaidDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA. hgelsaid@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patent ductus arteriosus (PDA) stenting is an established alternative to systemic-to-pulmonary artery shunts for neonates with ductal-dependent pulmonary blood flow, offering a less invasive approach. However, the procedure remains technically challenging and prone to complications. We evaluated the wire twisting/locking technique to improve precision and safety during PDA stenting. This retrospective study, approved by the UC San Diego Institutional Review Board, analyzed the application of the wire twisting/locking technique for PDA stenting between Jan 2021 and Dec 2024. Data were extracted from electronic medical records, including patient demographics, diagnoses, procedural details, and outcomes. The wire twisting/locking technique was applied in 18 PDA stenting procedures performed on 11 patients with complex cyanotic congenital heart disease. The procedures included initial PDA stenting (n = 10) and PDA stent re-interventions (n = 8), comprising four balloon dilations and four stent placements. The median age of initial stent replacement was 9 days (IQR: 8-90), and the median weight was 3.88 kg (IQR: 3.17-6.05). Access sites included carotid (n = 10), femoral (n = 4), axillary (n = 2), and umbilical arteries (n = 2). The median stent diameter was 2.05 mm (IQR: 1.5-2.4), and the median stent length was 24.35 mm (IQR: 22-30 mm). The median procedure time was 91 min (IQR: 62-130) and a median radiation dose of 154.73 Gycm

Indexed as

Cardiac CatheterizationDuctus Arteriosus, PatentPulmonary CirculationStentsFemaleHumansInfant, NewbornMaleRetrospective StudiesCongenital heart diseaseNeonatal interventionPDA stentingTwisting/locking technique

Identifiers

PMID40323405
PMCPMC13498504

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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.