Evidence map›Paper›PMID 40564710›Full record

ArticleChildren (Basel, Switzerland)2025

The Use of Vasodilator Therapy in Fontan Patients: A Single-Centre Experience.

Alessia Faccini, Martina Avesani, Roberta Biffanti, Elettra Pomiato, Domenico Sirico, Alice Pozza, Alessia Cerutti, Elena Reffo, Biagio Castaldi, Giovanni Di Salvo

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Alessia FacciniDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.
Martina AvesaniDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.ORCID 0000-0003-4970-4562
Roberta BiffantiDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.
Elettra PomiatoDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.ORCID 0000-0003-1104-9398
Domenico SiricoDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.ORCID 0000-0002-6444-2292
Alice PozzaDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.ORCID 0009-0003-4799-5551
Alessia CeruttiDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.
Elena ReffoDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.
Biagio CastaldiDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.ORCID 0000-0001-8140-6798
Giovanni Di SalvoDivision of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, 35128 Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to describe our centre experience in the use of pulmonary vasodilator therapy in Fontan patients.

methodsWe retrospectively enrolled patients that underwent Fontan operation between 2000 and 2024, reporting demographic and operative data and noting complications and the use of pulmonary vasodilators.

resultsA total of 117 patients were followed for a median time of 150 months (90-207). In total, 36.7% were female, and the median age during the intervention was 50 months (37-64), and 53% had a single left ventricle physiology. In 20 of these 117 patients (17.1%), at least one pulmonary vasodilator drug was used during their life for the following reasons: 6 elevated pressures in the circuit, 3 low oxygen saturation, 2 plastic bronchitis, 2 pleural effusion, 1 chylothorax, 1 persistent pericardial effusion, 1 haemoptysis, 1 protein losing enteropathy, 1 poor exercise tolerance, 1 pulmonary arterial hypertension present since birth and 1 diastolic dysfunction. They had a significantly higher prevalence of single right ventricle physiology (65% vs. 37%,

conclusionsWe found that in the absence of a standardise protocol, we usually use pulmonary vasodilator therapy in Fontan patients, as it is guided by clinical aspects and hemodynamic conditions, which lead us to start and stop this therapy.

Indexed as

Fontan circulationpulmonary arterial hypertensionpulmonary vasodilator therapy

Identifiers

PMID40564710
PMCPMC12191318

What Socratic holds

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LicenceCC BY
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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 Socratic graph.