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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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| Published in: | Pediatric pulmonology 2023-04, Vol.58 (4), p.1221-1228 |
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| cites | cdi_FETCH-LOGICAL-c3935-8521a3749198d0791558acc6f96d77586c71d8349ef73baec9c2a074df3f0dbb3 |
| container_end_page | 1228 |
| container_issue | 4 |
| container_start_page | 1221 |
| container_title | Pediatric pulmonology |
| container_volume | 58 |
| creator | Wei, Yu‐Jen Ju, Ying‐Tzu Hsieh, Min‐Ling Kan, Chung‐Dann Lin, Yung‐Chieh Wang, Jieh‐Neng |
| description | 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 |
| doi_str_mv | 10.1002/ppul.26325 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2769591091</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2786775347</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3935-8521a3749198d0791558acc6f96d77586c71d8349ef73baec9c2a074df3f0dbb3</originalsourceid><addsrcrecordid>eNp9kc1q3TAQhUVpaG7SbvoARdBNCXEqWbZkLUPoH1xooM3ayLJ8rSBLriQn9WP1DTu3N80ii6yGmfk4c5iD0FtKLigh5cd5XtxFyVlZv0AbSqQsSCX5S7RpRF0XvOHsGJ2kdEsI7CR9hY4Z55KThm3Qnx9L3FmtHHZ2p7IN_hz7kHGOyiet8miyiVi7kJZozrFKKWirsunxvc0jVni0uxGIZO5MtHnFYcBdDF6PAVxNwau44n5Ns1PJKmw9Nr9zNJNxK57jXnyC4aB8hgLdnfGgPYSIZ7gC037ReUlYRVhacJFeo6NBuWTePNRTdPP508-rr8X2-5dvV5fbQjPJ6qKpS6qYqCSVTU-EpHXdKK35IHkvRN1wLWjfsEqaQbBOGS11qYio-oENpO86doo-HHTnGH4tJuV2skkb55Q3YUltKbisJbybAvr-CXoblujBHVANh3OsEkCdHSgdQ0rRDO0c7QT_aSlp90G2-yDbf0EC_O5Bcukm0z-i_5MDgB6Ae-vM-oxUe319sz2I_gWHsK4l</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2786775347</pqid></control><display><type>article</type><title>Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Wei, Yu‐Jen ; Ju, Ying‐Tzu ; Hsieh, Min‐Ling ; Kan, Chung‐Dann ; Lin, Yung‐Chieh ; Wang, Jieh‐Neng</creator><creatorcontrib>Wei, Yu‐Jen ; Ju, Ying‐Tzu ; Hsieh, Min‐Ling ; Kan, Chung‐Dann ; Lin, Yung‐Chieh ; Wang, Jieh‐Neng</creatorcontrib><description>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 <1000 g and who underwent either surgical ligation or transcatheter closure of PDA in a single tertiary institution. The infants were divided into groups according to the type of procedure (surgical ligation or transcatheter occlusion). The primary outcome was the severity of BPD at discharge or at a postmenstrual age of 36 weeks. The outcome was analyzed with logistic regression.
Results
Forty‐four patients met the inclusion criteria, of whom 14 underwent transcatheter occlusion and 30 underwent surgical ligation. The overall birth body weights and gestational age ranges were not different. The univariate model revealed an association between the procedure type and BPD severity. After adjusting for confounders, the multivariate model confirmed associations between BPD severity and procedure type and severe respiratory distress syndrome requiring surfactant.
Conclusion
Compared with the transcatheter approach, surgery for PDA in extremely preterm infants is associated with severe BPD at discharge. Further large‐scale studies are needed to determine the exact mechanism.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.26325</identifier><identifier>PMID: 36696083</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>Pediatric pulmonology, 2023-04, Vol.58 (4), p.1221-1228</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3935-8521a3749198d0791558acc6f96d77586c71d8349ef73baec9c2a074df3f0dbb3</citedby><cites>FETCH-LOGICAL-c3935-8521a3749198d0791558acc6f96d77586c71d8349ef73baec9c2a074df3f0dbb3</cites><orcidid>0000-0002-7128-5344 ; 0000-0002-8703-3408</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36696083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wei, Yu‐Jen</creatorcontrib><creatorcontrib>Ju, Ying‐Tzu</creatorcontrib><creatorcontrib>Hsieh, Min‐Ling</creatorcontrib><creatorcontrib>Kan, Chung‐Dann</creatorcontrib><creatorcontrib>Lin, Yung‐Chieh</creatorcontrib><creatorcontrib>Wang, Jieh‐Neng</creatorcontrib><title>Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus</title><title>Pediatric pulmonology</title><addtitle>Pediatr Pulmonol</addtitle><description>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 <1000 g and who underwent either surgical ligation or transcatheter closure of PDA in a single tertiary institution. The infants were divided into groups according to the type of procedure (surgical ligation or transcatheter occlusion). The primary outcome was the severity of BPD at discharge or at a postmenstrual age of 36 weeks. The outcome was analyzed with logistic regression.
Results
Forty‐four patients met the inclusion criteria, of whom 14 underwent transcatheter occlusion and 30 underwent surgical ligation. The overall birth body weights and gestational age ranges were not different. The univariate model revealed an association between the procedure type and BPD severity. After adjusting for confounders, the multivariate model confirmed associations between BPD severity and procedure type and severe respiratory distress syndrome requiring surfactant.
Conclusion
Compared with the transcatheter approach, surgery for PDA in extremely preterm infants is associated with severe BPD at discharge. Further large‐scale studies are needed to determine the exact mechanism.</description><subject>bronchopulmonary</subject><subject>Bronchopulmonary Dysplasia - complications</subject><subject>Child</subject><subject>Congenital diseases</subject><subject>Coronary vessels</subject><subject>Ductus Arteriosus, Patent - complications</subject><subject>Ductus Arteriosus, Patent - surgery</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Extremely Premature</subject><subject>Infant, Newborn</subject><subject>Lung diseases</subject><subject>patent ductus arteriosus</subject><subject>Premature babies</subject><subject>Premature birth</subject><subject>Retrospective Studies</subject><subject>transcatheter closure</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kc1q3TAQhUVpaG7SbvoARdBNCXEqWbZkLUPoH1xooM3ayLJ8rSBLriQn9WP1DTu3N80ii6yGmfk4c5iD0FtKLigh5cd5XtxFyVlZv0AbSqQsSCX5S7RpRF0XvOHsGJ2kdEsI7CR9hY4Z55KThm3Qnx9L3FmtHHZ2p7IN_hz7kHGOyiet8miyiVi7kJZozrFKKWirsunxvc0jVni0uxGIZO5MtHnFYcBdDF6PAVxNwau44n5Ns1PJKmw9Nr9zNJNxK57jXnyC4aB8hgLdnfGgPYSIZ7gC037ReUlYRVhacJFeo6NBuWTePNRTdPP508-rr8X2-5dvV5fbQjPJ6qKpS6qYqCSVTU-EpHXdKK35IHkvRN1wLWjfsEqaQbBOGS11qYio-oENpO86doo-HHTnGH4tJuV2skkb55Q3YUltKbisJbybAvr-CXoblujBHVANh3OsEkCdHSgdQ0rRDO0c7QT_aSlp90G2-yDbf0EC_O5Bcukm0z-i_5MDgB6Ae-vM-oxUe319sz2I_gWHsK4l</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Wei, Yu‐Jen</creator><creator>Ju, Ying‐Tzu</creator><creator>Hsieh, Min‐Ling</creator><creator>Kan, Chung‐Dann</creator><creator>Lin, Yung‐Chieh</creator><creator>Wang, Jieh‐Neng</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7128-5344</orcidid><orcidid>https://orcid.org/0000-0002-8703-3408</orcidid></search><sort><creationdate>202304</creationdate><title>Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus</title><author>Wei, Yu‐Jen ; Ju, Ying‐Tzu ; Hsieh, Min‐Ling ; Kan, Chung‐Dann ; Lin, Yung‐Chieh ; Wang, Jieh‐Neng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3935-8521a3749198d0791558acc6f96d77586c71d8349ef73baec9c2a074df3f0dbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>bronchopulmonary</topic><topic>Bronchopulmonary Dysplasia - complications</topic><topic>Child</topic><topic>Congenital diseases</topic><topic>Coronary vessels</topic><topic>Ductus Arteriosus, Patent - complications</topic><topic>Ductus Arteriosus, Patent - surgery</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Extremely Premature</topic><topic>Infant, Newborn</topic><topic>Lung diseases</topic><topic>patent ductus arteriosus</topic><topic>Premature babies</topic><topic>Premature birth</topic><topic>Retrospective Studies</topic><topic>transcatheter closure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wei, Yu‐Jen</creatorcontrib><creatorcontrib>Ju, Ying‐Tzu</creatorcontrib><creatorcontrib>Hsieh, Min‐Ling</creatorcontrib><creatorcontrib>Kan, Chung‐Dann</creatorcontrib><creatorcontrib>Lin, Yung‐Chieh</creatorcontrib><creatorcontrib>Wang, Jieh‐Neng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wei, Yu‐Jen</au><au>Ju, Ying‐Tzu</au><au>Hsieh, Min‐Ling</au><au>Kan, Chung‐Dann</au><au>Lin, Yung‐Chieh</au><au>Wang, Jieh‐Neng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr Pulmonol</addtitle><date>2023-04</date><risdate>2023</risdate><volume>58</volume><issue>4</issue><spage>1221</spage><epage>1228</epage><pages>1221-1228</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><abstract>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 <1000 g and who underwent either surgical ligation or transcatheter closure of PDA in a single tertiary institution. The infants were divided into groups according to the type of procedure (surgical ligation or transcatheter occlusion). The primary outcome was the severity of BPD at discharge or at a postmenstrual age of 36 weeks. The outcome was analyzed with logistic regression.
Results
Forty‐four patients met the inclusion criteria, of whom 14 underwent transcatheter occlusion and 30 underwent surgical ligation. The overall birth body weights and gestational age ranges were not different. The univariate model revealed an association between the procedure type and BPD severity. After adjusting for confounders, the multivariate model confirmed associations between BPD severity and procedure type and severe respiratory distress syndrome requiring surfactant.
Conclusion
Compared with the transcatheter approach, surgery for PDA in extremely preterm infants is associated with severe BPD at discharge. Further large‐scale studies are needed to determine the exact mechanism.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36696083</pmid><doi>10.1002/ppul.26325</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7128-5344</orcidid><orcidid>https://orcid.org/0000-0002-8703-3408</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric pulmonology, 2023-04, Vol.58 (4), p.1221-1228 |
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| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Surgical ligation, not transcatheter closure, associated with a higher severity of bronchopulmonary dysplasia in extremely preterm infant intervened for patent ductus arteriosus |
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