Bilateral pulmonary arterial banding results in an increased need for subsequent pulmonary artery interventions

The Journal of Thoracic and Cardiovascular Surgery
Ryan R DaviesChristian Pizarro

Abstract

Despite increasing use of bilateral branch pulmonary artery banding (bPAB), both as a temporary stabilizing treatment and as part of comprehensive hybrid management of hypoplastic left heart syndrome, little is known about the long-term outcomes of the pulmonary arteries (PAs) in banded patients. We conducted a retrospective review of all patients with ductal-dependent systemic circulation (2001-2013) undergoing bPAB placement at a single institution (bPAB, n = 50); patients who underwent a stage I Norwood procedure (Norwood, n = 53) were used for comparison. The need for PA interventions (surgical arterioplasty, balloon angioplasty, and stent implantation) and PA growth were assessed. Bands were in place for a median of 76 days. PA growth and size were similar between groups, but bPAB patients required more interventions (1.4 ± 2.9 vs 0.5 ± 1.2, P = .01). In competing risks analysis, only 20% of bPAB patients were alive and free from intervention at 5 years after bPAB removal. Multivariable Cox proportional hazards regression of operative interventions within the bPAB group demonstrated the following risk factors: subsequent 2-ventricle repairs (hazard ratio [HR], 2.2; 95% confidence interval [CI], 0.7-6.7), smallest band diam...Continue Reading

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Citations

Mar 19, 2014·The Journal of Thoracic and Cardiovascular Surgery·Yukihiro KanekoMiyuki Shibata
Nov 26, 2015·The Journal of Thoracic and Cardiovascular Surgery·Sanjiv K Gandhi
Apr 3, 2016·Congenital Heart Disease·Elizabeth A MitchellClifford L Cua
Mar 5, 2016·Pediatric Cardiology·William N EvansHumberto Restrepo
Dec 26, 2015·The Journal of Thoracic and Cardiovascular Surgery·Can YerebakanHakan Akintuerk
Dec 20, 2015·The Journal of Thoracic and Cardiovascular Surgery·Ralph S Mosca
Oct 5, 2015·The Annals of Thoracic Surgery·Michael O MurphyDavid R Anderson
Apr 2, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takahisa SakuraiTakuya Osawa
Jun 21, 2015·The Journal of Thoracic and Cardiovascular Surgery·Tomomi HasegawaShunsuke Matsushima
Jun 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Mohamed S NassarTarique Hussain
Jul 25, 2015·The Journal of Thoracic and Cardiovascular Surgery·Ryan R Davies, Christian Pizarro
Jul 5, 2015·The Annals of Thoracic Surgery·Tai FuchigamiNobuhiro Nagata
Nov 26, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Amir-Reza Hosseinpour
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Can YerebakanHakan Akintuerk
Jan 18, 2015·The Journal of Thoracic and Cardiovascular Surgery·Otto RahkonenKyong-Jin Lee
Jan 30, 2015·The Journal of Thoracic and Cardiovascular Surgery·Sanjiv K Gandhi
Nov 27, 2014·Frontiers in Pediatrics·Raoul Roman ArnoldMatthias Gorenflo
Jul 3, 2016·Interactive Cardiovascular and Thoracic Surgery·Tai FuchigamiNobuhiro Nagata
Sep 20, 2016·The Journal of Thoracic and Cardiovascular Surgery·Mohamed S NassarTarique Hussain
Dec 31, 2015·World Journal for Pediatric & Congenital Heart Surgery·Ignacio JuanedaChristian Kreutzer
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Jacob Y CaoDavid S Winlaw
May 7, 2016·Asian Cardiovascular & Thoracic Annals·Tai FuchigamiNobuhiro Nagata
Sep 19, 2018·Cardiology in the Young·Peter P RoeleveldJohn M Costello
Mar 18, 2019·Interactive Cardiovascular and Thoracic Surgery·Satoshi AsadaHitoshi Yaku
Sep 10, 2019·World Journal for Pediatric & Congenital Heart Surgery·C R SiddarthaRaja Joshi
Mar 19, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takashi YasukawaHajime Ichikawa
Feb 13, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Vladimir SojakMark Hazekamp
Nov 23, 2019·Archives of Cardiovascular Diseases·Estibaliz ValdeomillosUNKNOWN Filiale de cardiologie pédiatrique et congénitale de la Société française de cardiologie
Apr 30, 2021·Pediatric Cardiology·Stephen NageotteDavid Balzer
Sep 26, 2020·Seminars in Thoracic and Cardiovascular Surgery·Cameron S SeamanMichael M H Cheung
Jul 23, 2021·General Thoracic and Cardiovascular Surgery·Hiroshi KoshiyamaYusuke Iwata

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