ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026
Recanalization of Thrombosed Atrial Flow Regulator in Failing Fontan: A Bridge to Transplant.
Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Functionally Single-Ventricle Complications After Fontan Palliation-A Narrative Review.Journal of clinical medicine · 2026Review
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Authors and funding
4 authors.
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Abstract
We report the case of a 10-year-old boy (41 kg, 133 cm) with hypoplastic left heart syndrome (mitral and aortic atresia), who underwent staged palliation: Norwood-Sano at 6 days, Glenn at 7 months, and Fontan completion at 3 years using a 16 mm non-fenestrated extracardiac Gore-Tex conduit. By age 8, he developed Fontan failure with elevated pressures and protein-losing enteropathy, refractory to medical management, supportive therapy, and hepatic lymphatic embolization. At age 9, the Fontan conduit was needle-perforated, dilated with a 7 mm balloon, and a 6 × 5 mm Occlutech atrial flow regulator (AFR) was implanted. Complete AFR thrombosis occurred 4 months later. Recanalization was achieved using an Astato® 30 0.018" wire under carotid protection with 6 mm SpiderFX filters, followed by high-pressure ballooning and a 9 × 18 mm BeSmooth stent implantation. Despite a patent AFR and optimized therapy, the patient showed no clinical improvement and ultimately underwent successful heart transplantation 1 month later under more favorable conditions.
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