Evidence map›Paper›PMID 41389134›Full record

ReviewPediatric cardiology2025

Systemic-Pulmonary Collaterals in KCNT1-Related Disorders: Precise Nomenclature and Management.

Jeffery Delaney, Utkarsh Kohli, Yuki Kawasaki, Casey Burg, Ponghatai Boonsimma, Azusa Ikeda, Tanitnun Paprad, David Bearden, Justin West, Sarah Drislane and 2 more

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In one paragraph

Review in Pediatric cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

12 authors.

Jeffery DelaneyDepartment of Pediatrics, Division of Cardiology, University Nebraska Medical Center, Omaha, NE, USA.
Utkarsh KohliDivision of Pediatric Cardiology, Department of Pediatrics, Nicklaus Children's Hospital, Miami, FL, USA.
Yuki KawasakiDepartment of Pediatric Cardiology and Electrophysiology, Osaka General Hospital, Osaka City, Osaka, Japan.
Casey BurgDepartment of Pediatrics, Division of Pulmonology, University Nebraska Medical Center, Omaha, NE, USA.
Ponghatai BoonsimmaDepartment of Pediatrics, Division of Medical Genetics and Metabolism, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Azusa IkedaDepartment of Neurology, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.
Tanitnun PapradDepartment of Pediatrics, Bangkok Hospital Phuket, Phuket, Phuket Province, Thailand.
David BeardenDepartment of Neurology, Division of Child Neurology, University of Rochester Medical Center, Rochester, NY, USA.
Justin WestKCNT1 Epilepsy Foundation, Scottsdale, AZ, USA.
Sarah DrislaneKCNT1 Epilepsy Foundation, Scottsdale, AZ, USA.
Brad BryanKCNT1 Epilepsy Foundation, Scottsdale, AZ, USA.
Amanda AbuhlKCNT1 Epilepsy Foundation, Scottsdale, AZ, USA. amanda.a@kcnt1epilepsy.org.ORCID http://orcid.org/0009-0007-7789-0637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathogenic variants in KCNT1, a gene encoding a sodium-activated potassium channel, are classically associated with severe early-onset epileptic encephalopathies. Emerging evidence indicates that some individuals with KCNT1-related disorders also develop systemic-to-pulmonary vascular anomalies, often initially misidentified as major aortopulmonary collateral arteries (MAPCAs) due to radiographic similarities with congenital heart disease. Unlike true MAPCAs, these vessels arise in the absence of structural cardiac defects and appear to result from abnormal angiogenesis driven by dysregulated KCNT1-mediated signaling. Misclassification may lead to inappropriate interventions or management strategies. Here, a multidisciplinary expert working group reviewed published cases, institutional experience, and imaging findings to develop an expert opinion for nomenclature, diagnosis, and management of these vascular anomalies. We recommend adopting the term systemic-pulmonary collaterals (SPCs) to accurately describe these angiogenic vessels. Risk-based screening, judicious catheter-based embolization when physiologically indicated, and careful avoidance of standard pulmonary vasodilators are emphasized. This statement aims to improve clinical recognition, precision in terminology, and safe management of vascular complications in patients with KCNT1-related disorders.

Indexed as

AngiogenesisEmbolizationEpileptic encephalopathyKCNT1Systemic-pulmonary collaterals (SPCs)Vascular anomalies

Identifiers

PMID41389134

What OpenQuestion holds

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Registered trials

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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.