Evidence map›Paper›PMID 41885934›Full record

ArticlePediatric cardiology2026

Umbilical Artery Access for PDA Stenting: Feasibility in Select Anatomy.

Thomas Roberts, Marjan Hesari, Danica Peterson, Juliana Gomez-Arostegui, Clinton Fulk, Justin Ryan, Denise Suttner, John Nigro, Howaida El-Said

Abstract read
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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

9 authors.

Thomas RobertsDepartment of Pediatrics, University of California, San Diego, La Jolla, San Diego, CA, USA. tom.roberts.22@ucl.ac.uk.
Marjan HesariDepartment of Pediatrics, University of California, San Diego, La Jolla, San Diego, CA, USA.
Danica PetersonDepartment of Pediatrics, University of California, San Diego, La Jolla, San Diego, CA, USA.
Juliana Gomez-ArosteguiDepartment of Pediatrics, University of California, San Diego, La Jolla, San Diego, CA, USA.
Clinton FulkDivision of Cardiology, Rady Children's Hospital, San Diego, CA, USA.
Justin RyanHelen and Will Webster Foundation 3D Innovations Lab, Rady Children's Hospital, San Diego, CA, USA.
Denise SuttnerDepartment of Neonatology Surgery, UC San Diego Health, La Jolla, CA, USA.
John NigroDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of California, San Diego, CA, USA.
Howaida El-SaidDepartment of Pediatrics, University of California, San Diego, La Jolla, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patent ductus arteriosus (PDA) stenting is a less invasive alternative to surgical shunts in ductal-dependent congenital heart disease. Umbilical artery access for PDA stenting offers femoral-like retrograde advantages while avoiding associated risks, however is underreported in this context. This study evaluates umbilical artery access feasibility and outcomes for PDA stenting. A case series included seven neonates undergoing PDA stenting via umbilical artery access between 01/17/2020 and 10/30/2024 at Rady Children's Hospital, San Diego. Patient demographics, PDA morphology, and procedural details were collected. Existing umbilical arterial lines were rewired and exchanged for a 4 F Flexor sheath (Cook Medical Bloomington, Indiana, USA), advanced through the iliac artery to the descending aorta. A coaxial system was used to cross the PDA and deploy coronary stents with a wire-locking technique for controlled positioning. Post-procedure, patients received dual antiplatelet therapy with the umbilical catheter remaining in situ until stability. This study (71% female) had a median gestational age of 38 weeks and a median birth weight of 2.97 kg. The median age at catheterization was 8 days (range: 3-10). PDA morphology originated from the descending aorta (n = 4, 57.1%) and the brachiocephalic artery (n = 3, 42.9%). The median procedure time was 126 min (range: 42-161 min), with a median fluoroscopy time of 24.7 min (11.4-58.6). No intra- or post-procedural complications occurred. Median stent diameter was 3.5 mm; 85.7% required one stent. Scheduled reinterventions, as part of staged palliation, were performed in a subset of patients. Umbilical artery access for PDA stenting is a safe and effective alternative in select cases, with no acute complications in our study.

Indexed as

Cardiac CatheterizationDuctus Arteriosus, PatentStentsUmbilical ArteriesFeasibility StudiesFemaleHumansInfant, NewbornMaleRetrospective StudiesTreatment OutcomeCongenital heart diseaseMinimally invasive interventionNeonatePatent ductus arteriosus stentingUmbilical artery access

Identifiers

PMID41885934
PMCPMC13498489

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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.