caa a22 4500 445823755 CHVBK 20180317145252.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00246-010-9796-4 doi (NATIONALLICENCE)springer-10.1007/s00246-010-9796-4 Catheter Balloon Adjustment of the Pulmonary Artery Band: Feasibility and Safety [Elektronische Daten] [Howaida El-Said, Rabih Hamzeh, John Lamberti, John Moore] The study aimed to assess the feasibility and safety of increasing pulmonary artery band (PAB) diameter by catheter-based PAB balloon dilation (PABBD). Eight dilations were performed between October 2006 and December 2008. Hemoclips were used to fix PABs surgically in a procedure designed to permit progressive clip dislodgment in a controlled manner. The PABBD resulted in gradual band loosening until the desired physiologic state was achieved. At time of PABBD, the patients had a mean age of 6months (range 3-14months) and a mean weight of 5kg (range 2.6-7.3kg). The median time from PAB placement until PABBD was 4.5months (range 1-9months). The single-balloon technique was used in seven cases (serial dilations in 5 cases) and the double-balloon technique in one case. The PABBDs were successful for all the patients, who experienced a mean saturation increase of 75-89% (P=0.01) (mean increase of 20%), a mean PAB gradient decrease from 69 to 36mmHg (P=0.002) (mean decrease of 49%), and a mean band site diameter increase from 4.1 to 6.1mm (P=0.01) (mean increase of 45%). The only complication was transient pulmonary edema in one patient. The PABBD procedure is a feasible and safe method for increasing pulmonary blood flow in a staged manner and may eliminate the need for surgical band removal in some cases. The Author(s), 2010 Congenital heart disease nationallicence Pulmonary artery band nationallicence Palliation nationallicence El-Said Howaida Department of Pediatric Cardiology, Rady Children's Hospital, University of California, San Diego, San Diego, CA, USA aut Hamzeh Rabih Department of Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA aut Lamberti John Department of Cardiothoracic Surgery, University of California, San Diego, San Diego, CA, USA aut Moore John Department of Pediatric Cardiology, Rady Children's Hospital, University of California, San Diego, San Diego, CA, USA aut Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 8-16 0172-0643 32:1<8 2011 32 246 https://doi.org/10.1007/s00246-010-9796-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9796-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- El-Said Howaida Department of Pediatric Cardiology, Rady Children's Hospital, University of California, San Diego, San Diego, CA, USA aut NATIONALLICENCE 700 1- Hamzeh Rabih Department of Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA aut NATIONALLICENCE 700 1- Lamberti John Department of Cardiothoracic Surgery, University of California, San Diego, San Diego, CA, USA aut NATIONALLICENCE 700 1- Moore John Department of Pediatric Cardiology, Rady Children's Hospital, University of California, San Diego, San Diego, CA, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 8-16 0172-0643 32:1<8 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer