title: Stenting of modified and classical Blalock-Taussig shunts--lessons learned from seven consecutive cases.
abstract: In neonates and infants with a shunt-dependent pulmonary circulation, stenosis of the shunt needs to be treated aggressively to prevent a fatal outcome. We report the technique and outcome in seven consecutive neonates and infants with Blalock-Taussig shunt stenosis, who were treated with intraluminal stents. Stenting of classical or modified Blalock-Taussig shunts is technically feasible and can be used as a rescue procedure. Neointimal dissection is less likely compared with balloon angioplasty of the shunt alone.
authors.affiliation: Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, United Kingdom. Thomas.Krasemann@gstt.nhs.uk
authors.forename: Thomas
authors.initials: T
authors.lastname: Krasemann
authors.forename: Aphrodite
authors.initials: A
authors.lastname: Tzifa
authors.forename: Eric
authors.initials: E
authors.lastname: Rosenthal
authors.forename: Shakeel A
authors.initials: SA
authors.lastname: Qureshi
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D058366:Blalock-Taussig Procedure / Q000009:adverse effects* / Q000379:methods; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D018810:Magnetic Resonance Angiography; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy; D011859:Radiography; D012189:Retrospective Studies; D018570:Risk Assessment; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology