医学
动脉导管
血流动力学
结束语(心理学)
胎龄
低出生体重
结扎
心导管术
导管
重症监护医学
外科
心脏病学
怀孕
市场经济
生物
经济
遗传学
作者
Gaia Francescato,Daniela Doni,G Annoni,Irma Capolupo,Elena Ciarmoli,Iuri Corsini,Italo Francesco Gatelli,Severo Salvadori,Alberto Testa,Gianfranco Butera
标识
DOI:10.1186/s13052-023-01552-2
摘要
Ductal patency of preterm infants is potentially associated with long term morbidities related to either pulmonary overflow or systemic steal. When an interventional closure is needed, it can be achieved with either surgical ligation or a catheter-based approach.Transcatheter PDA closure is among the safest of interventional cardiac procedures and it is the first choice for ductal closure in adults, children, and infants weighing more than 6 kg. In preterm and very low birth weight infants, it is increasingly becoming a valid and safe alternative to ligation, especially for the high success rate and the minor invasiveness and side effects. Nevertheless, being it performed at increasingly lower weights and gestational ages, hemodynamic complications are possible events to be foreseen.Procedural steps, timing, results, possible complications and available monitoring systems, as well as future outlooks are here discussed.
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