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NCT07073612Recruiting

Transcatheter Fontan Stenting: Impact on Hepatic Stiffness and Exercise Capacity

Children's Hospital Los Angeles

Start Date

8/1/2025

Completion Date

12/1/2027

Summary

The goal of this observational study is to assess the clinical impact following Fontan stent placement for extracardiac Fontan conduit (EFC) stenosis in patients with single-ventricle Fontan-palliated patients ages 12-21 years old. The main question it aims to: -Assess changes in exercise capacity by cardiopulmonary exercise testing and liver stiffness assessed by shear wave elastography before and after EFC stenting. Participants will undergo two cardiopulmonary exercise tests and three shear wave elastography scans.

Eligibility Criteria

Age Range: 12 years to 21 years

Inclusion Criteria: * Functionally single-ventricle Fontan-palliated patients undergoing clinically indicated cardiac catheterization * Anticipated Fontan stent placement for extracardiac Fontan conduit stenosis at the discretion of the primary operator * Weight ≥ 50 kg * 12-21 years of age Exclusion Criteria: * Interrupted IVC * Greater than mild atrioventricular valve regurgitation on most recent echocardiogram or MRI (RF \> 20%). * Greater than mild systemic ventricular dysfunction on most recent echo or MRI (EF \< 40%). * Non-sinus rhythm * Pacemaker * Inability to perform exercise test due to developmental or physical disability

Interventions

DIAGNOSTIC_TEST

Cardiopulmonary Exercise Testing (CPET)

DIAGNOSTIC_TEST

Shear Wave Elastography Scan

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Conditions

Single-ventricleStenosis

Locations

Children's Hospital Los Angeles

Los Angeles, California 90027

United States