Your browser doesn't support javascript.
loading
Comparison of Immediate Intensive Care Outcomes of Patent Ductus Arteriosus Stenting Versus Modified Blalock-Taussig-Thomas Shunt in Infants With Ductal-Dependent Pulmonary Circulation.
Sirisani, Joyce Darshinee; Haranal, Maruti; Soo, Kok Wai; Sivalingam, Sivakumar; Mohd Khalid, Khairul Faizah.
Afiliação
  • Sirisani JD; Pediatric and Congenital Heart Centre, National Heart Institute, 145 Jalan Tun Razak, 50400, Kuala Lumpur, Malaysia. dr.joyced@ijn.com.my.
  • Haranal M; Department of Cardiothoracic and Vascular Surgery, National Heart Institute, 145 Jalan Tun Razak, 50400, Kuala Lumpur, Malaysia.
  • Soo KW; Pediatric and Congenital Heart Centre, National Heart Institute, 145 Jalan Tun Razak, 50400, Kuala Lumpur, Malaysia.
  • Sivalingam S; Department of Cardiothoracic and Vascular Surgery, National Heart Institute, 145 Jalan Tun Razak, 50400, Kuala Lumpur, Malaysia.
  • Mohd Khalid KF; Pediatric and Congenital Heart Centre, National Heart Institute, 145 Jalan Tun Razak, 50400, Kuala Lumpur, Malaysia.
Pediatr Cardiol ; 2024 Jul 29.
Article em En | MEDLINE | ID: mdl-39073479
ABSTRACT
Patent Ductus Arteriosus (PDA) stenting is an alternative to Modified Blalock-Taussig-Thomas Shunt (BT) to increase pulmonary blood flow in ductal-dependent pulmonary circulation. The objective of this study is to compare the immediate Intensive Care Unit (ICU) outcomes of PDA stent versus BT shunt in infants with ductal-dependent pulmonary circulation. This is a single center, retrospective study in infants less than 6 months with ductal-dependent pulmonary circulation palliated with either PDA stenting or BT shunt from January 2015 till December 2023. Data were reviewed from pediatric ICU database. Demographics details, ICU parameters, mortality and morbidity were compared. The propensity score with inverse probability weighting was used to control the effect of covariates. A total of 302 patients with PDA stenting and 100 patients with BT shunt were included. Majority of the patients had intervention at first month of life. 126 (41.7%) patient underwent PDA stenting while 36 (36%) had BTS. The PDA stenting group has shorter ICU stay, 3 (2.0,6.0) days versus 8 (4.8,13.0) days (p < 0.001), shorter length of hospital stay, 9 (6.8,15.0) days versus 16 (11.0,22.0) days (p < 0.001), shorter ventilation days, 2 (1.0,4.0) days versus 3 (2.0,7.0) days (p < 0.001) and lower mortality, 7 (2.3%) versus 16 (16.0%) (p < 0.001). At 3 months follow-up, the survival was higher in the PDA stenting group (p < 0.001).

Conclusion:

PDA stenting in infants with ductal-dependent pulmonary blood flow has a more favorable intensive care outcomes with shorter ICU and hospital stay. PDA stenting has a better survival outcome.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pediatr Cardiol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Malásia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pediatr Cardiol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Malásia