Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus

Objective Patent ductus arteriosus (PDA) is a common complication among premature infants, which may be responsible for prematurity‐related complications such as bronchopulmonary dysplasia (BPD). It is unclear whether different interventional methods contribute to the severity of BPD, given the orig...

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Bibliographic Details
Published in:Pediatric pulmonology 2023-04, Vol.58 (4), p.1221-1228
Main Authors: Wei, Yu‐Jen, Ju, Ying‐Tzu, Hsieh, Min‐Ling, Kan, Chung‐Dann, Lin, Yung‐Chieh, Wang, Jieh‐Neng
Format: Article
Language:English
Subjects:
bronchopulmonary
Bronchopulmonary Dysplasia - complications
Child
Congenital diseases
Coronary vessels
Ductus Arteriosus, Patent - complications
Ductus Arteriosus, Patent - surgery
Gestational Age
Humans
Infant
Infant, Extremely Premature
Infant, Newborn
Lung diseases
patent ductus arteriosus
Premature babies
Premature birth
Retrospective Studies
transcatheter closure
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Summary:Objective Patent ductus arteriosus (PDA) is a common complication among premature infants, which may be responsible for prematurity‐related complications such as bronchopulmonary dysplasia (BPD). It is unclear whether different interventional methods contribute to the severity of BPD, given the original National Institute of Child Health and Human Development (NICHD) 2001 definition. To date, surgical ligation and the transcatheter approach have been equally successful in premature infants with hemodynamically significant PDA after medical treatment failure. Immediate improvement in the respiratory condition has been reported after transcatheter closure. However, the short‐term pulmonary outcome has not been clarified yet. Methods This retrospective study investigated infants born with a body weight
ISSN:8755-6863
1099-0496
DOI:10.1002/ppul.26325