Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T18:09:30.263Z Has data issue: false hasContentIssue false
  • English
  • Français

Patent ductus arteriosus: an analysis of management

Published online by Cambridge University Press:  24 October 2013

Andrew J Wardle ,
Ahmed Osman ,
Robert Tulloh  and
Karen Luyt
Andrew J Wardle
Affiliation:
Cardiology, Bristol Royal Hospital for Children, University Hospitals NHS Foundation Trust, Bristol, United Kingdom Department of Neonatal Neuroscience, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom
Ahmed Osman
Affiliation:
Cardiology, Bristol Royal Hospital for Children, University Hospitals NHS Foundation Trust, Bristol, United Kingdom Department of Neonatal Neuroscience, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom
Robert Tulloh
Affiliation:
Cardiology, Bristol Royal Hospital for Children, University Hospitals NHS Foundation Trust, Bristol, United Kingdom
Karen Luyt*
Affiliation:
Department of Neonatal Neuroscience, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom
*
Correspondence to: K. Luyt, MBChB PhD MRCP (UK) FRCPCH, Senior Lecturer in Neonatal Medicine, Department of Neonatal Neuroscience, School of Clinical Sciences, University of Bristol, Bristol, United Kingdom. Tel: 01173425234; Fax: 0117 34 25751; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

To compare differences in the management of the neonatal patent ductus arteriosus between neonatologists and paediatric cardiologists, physicians throughout the South-West were contacted. In treatment-refractory cases, neonatologists considered ligation less frequently than paediatric cardiologists (0% versus 40%; p<0.05) and held haemodynamic effects more important for ligation decisions [median: 5 (range 2–5) versus median: 4 (range 2–5); p<0.05]. Furthermore, 81% felt the current guidelines were insufficient.

Keywords

Patent ductus arteriosusmanagementevidence
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 5 , October 2014 , pp. 941 - 943
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Noori, S, McCoy, M, Friedlich, P, et al. Failure of ductus arteriosus closure is associated with increased mortality in preterm infants. Pediatrics 2009; 123: e138–e144.Google Scholar
2. Reller, MD, Rice, MJ, McDonald, RW. Review of studies evaluating ductal patency in the premature infant. J Pediatr 1993; 122: S59–S62.Google Scholar
3. National Institute for Clinical Excellence. Endovascular closure of the patent ductus arteriosus. October 2004. Retrieved July 18, 2012, from http://www.nice.org.uk/nicemedia/live/11110/31082/31082.pdf.Google Scholar
4. McCulloh, VA, Tulloh, RM. PDA and pulmonary hypertension: should the duct be ligated. Arch Dis Child Fetal Neonatal Ed 2010; 95: F75.Google Scholar
5. Benitz, E. Patent ductus arteriousus: to treat or not to treat? Arch Dis Child Fetal Neonatal Ed 2012; 97: F80–F82.Google Scholar