Pediatric anesthesia & critical care

Anesthetic Implications and Physiologic Response to Transcatheter Pulmonary Flow Restrictor Placement in Neonates: A Single-Center Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

PFR deployment results in stable ventilatory physiology and predictable saturation and hemodynamic responses.

Study context

Population
Neonates and infants with complex congenital heart disease undergoing sequential bilateral transcatheter pulmonary flow restrictor (PFR) implantation under GA, tertiary congenital cardiac catheterization laboratory
Participants
22 neonates
Outcome
Intraprocedural physiologic responses (predeployment, after PFR 1, after PFR 2)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

SpO2 reduced from 93% to 88%

Friedman Q = 7.878

p = 0.019

MAP increased stepwise from 42.5 to 54.5 mmHg

Friedman Q = 21.04, p = 2.7 × 10⁻⁵

Heart rate reduced from 152 to 144 bpm

Friedman Q = 9.33

p = 0.0094

Observational data: associations, not effects.

Safety

Conversion from volatile to intravenous anaesthesia due to hemodynamic compromise

Required conversion to intravenous anesthesia due to hemodynamic compromise
4

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Anesthetic Implications and Physiologic Response to Transcatheter Pulmonary Flow Restrictor Placement in Neonates: A Single-Center Cohort Study. J Cardiothorac Vasc Anesth. Published 8 May 2026. doi:10.1053/j.jvca.2026.05.012

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