دورية أكاديمية
Patent ductus arteriosus stenting versus modified Blalock-Taussig shunt for palliation of duct-dependent pulmonary blood flow lesions.
| العنوان: | Patent ductus arteriosus stenting versus modified Blalock-Taussig shunt for palliation of duct-dependent pulmonary blood flow lesions. |
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| المؤلفون: | Helal AM; Paediatric Cardiology Division, Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Paediatric Cardiology Division, Department of Paediatrics, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt., Elmahrouk AF; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Faculty of Medicine Tanta University, Tanta, Egypt., Bekheet S; Paediatric Cardiology Division, Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Paediatric Cardiology Division, Department of Paediatrics, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt., Barnawi HI; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Jamjoom AA; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Galal MO; Paediatric Cardiology Division, Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Abou Zahr R; Paediatric Cardiology Division, Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. |
| المصدر: | Journal of cardiac surgery [J Card Surg] 2022 Sep; Vol. 37 (9), pp. 2571-2580. Date of Electronic Publication: 2022 Jun 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986- |
| مواضيع طبية MeSH: | Blalock-Taussig Procedure* , Ductus Arteriosus, Patent*/surgery, Cardiac Catheterization ; Humans ; Infant ; Palliative Care/methods ; Pulmonary Artery/surgery ; Pulmonary Circulation ; Retrospective Studies ; Stents ; Time Factors ; Treatment Outcome |
| مستخلص: | Background: Patent ductus arteriosus (PDA) stenting is an alternative to modified Blalock-Taussig shunt (MBTS) as first-stage palliation of duct-dependent lesions. The superiority of one approach over the other is still controversial. Our objective was to compare PDA stent versusMBTS for palliation in regard to safety, efficacy, and efficiency. Methods: From 2010 to 2021, 134 patients had first-stage palliation with either PDA stent (n = 83) or MBTS (n = 51). Twenty-seven patients failed the primary treatment and were converted to the other group. The study endpoints were hospital outcomes, interstage reintervention, and concomitant procedures at the second-stage palliation. Results: Patients with PDA stent were significantly younger. The prevalence of antegrade pulmonary blood flow (PBF) was higher in patients who had MBTS and graft thrombosis was higher in the PDA stent. Hospital stay was significantly longer in patients who had MBTS. Predictors of prolonged mechanical ventilation were low-weight, MBTS, and conversion. Intensive care unit stay significantly increased with conversion, low-weight, and antegrade PBF. The interstage intervention was required more frequently in PDA-stent group. Predictors of reintervention were conversion and pulmonary atresia with the intact interventricular septum. Pulmonary artery plasty was required more frequently during the second-stage palliation in PDA-stent group. Conclusion: PDA stent is an alternative to MBTS for first-stage palliation. It is associated with shorter hospital stays and avoidance of surgery at the expense of a high rate of stent thrombosis and interstage reintervention. Conversion increased the risk of the procedure. More studies are needed to determine factors that affect PDA-stent outcomes and patient selection criteria. (© 2022 Wiley Periodicals LLC.) |
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| فهرسة مساهمة: | Keywords: PDA stenting; ductal-dependent pulmonary blood flow; modified Blalock-Taussig shunt |
| تواريخ الأحداث: | Date Created: 20220621 Date Completed: 20220803 Latest Revision: 20220803 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/jocs.16692 |
| PMID: | 35726659 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1540-8191 |
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| DOI: | 10.1111/jocs.16692 |