Percutaneous vs. Surgical Treatment of Patent Ductus Arteriosus in Children and Adolescents

Costa, Rodrigo Nieckel da; Pereira, Fabrício Leite; Ribeiro, Marcelo Silva; Pedra, Simone Fontes; Succi, Fabiana Moreira Passos; Marques, Pedro Valentim; Jatene, Marcelo Biscegli; Fontes, Valmir F.; Pedra, Carlos Augusto Cardoso

doi:10.1016/s0104-1843(12)50053-6

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…6 Furthermore, compared to surgical ligation, percutaneous treatment of PDA in infants weighing greater than 5 kg is associated with less intensive care unit time and faster recovery. 7 Percutaneous PDA closure in low-weight neonates (those less than 4 kg) has been shown to be successful (46 out of 52 patients, or 88%), although the risks of arterial injury and thrombosis (20%) begin to outweigh the benefits of percutaneous closure for patients in this low-weight category. 8…”

Section: Patent Ductus Arteriosus (Pda) Ligationmentioning

confidence: 99%

Borrowing from Adult Cardiac Surgeons—Bringing Congenital Heart Surgery Up to Speed in the Minimally Invasive Era

Alsarraj

Nellis

Vekstein

et al. 2020

Innovations�(Phila)

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The majority of congenital and adult cardiac surgery is performed through a median sternotomy. For surgeons, this incision provides excellent exposure; however, for patients, a median sternotomy confers a poorer cosmetic outcome and the possibility of postoperative respiratory dysfunction, chronic pain, and deep sternal wound infections. Despite the advances in adult cardiac surgery, the use of minimally invasive techniques in pediatric patients is largely limited to small case series and less complex repairs. In this article, we review the risks, benefits, and limitations of the minimally invasive congenital cardiac approaches being performed today. The interest in these approaches continues to grow as more data supporting reduced morbidity, decreased length of stay, and faster recovery are published. In the future, as the technology and surgical familiarity improve, these alternative approaches will become more common, and may someday become the standard of care.

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Section: Patent Ductus Arteriosus (Pda) Ligationmentioning

confidence: 99%