Narrative review suggests transcatheter PDA closure improves safety and reduces radiation compared to fluoroscopy
A new way to close a heart hole uses less radiation and takes less time
This narrative review evaluates transcatheter closure of patent ductus arteriosus in patients with this condition. The authors synthesize ev…
A review suggests using a catheter to close a patent ductus arteriosus is safer, uses less radiation, and takes less time than older methods…
Review of bedside ligation for patent ductus arteriosus in an extremely low birth weight infant
A single case shows bedside ligation works for a tiny newborn with a heart hole
This review and synthesis examines a single case report of bedside ligation for patent ductus arteriosus in an extremely low birth weight in…
A single case report suggests bedside ligation can close a heart hole and help a tiny newborn breathe easier without major surgery.
Paracetamol or ibuprofen treatment outcomes in preterm infants with patent ductus arteriosus: a retrospective cohort analysis
Tiny Hearts, Big Risk: New Clues to a Common Preemie Problem
This retrospective cohort study evaluated pharmacological treatment with intravenous paracetamol or ibuprofen in 60 preterm infants with pat…
For the tiniest premature babies, an open heart passage that doesn't close can be life-threatening, but early treatment helps most infants r…
3D CT and angiography show variable accuracy for PDA stent sizing depending on ductal tortuosity
Which scan is better for sizing heart stents in fragile newborns?
A cohort study of 21 consecutive PDA stenting cases (median age 14 days) found that both 3D CT and angiographic measurements correlated with…
For twisted blood vessels in newborns, traditional angiograms predicted stent size more accurately than 3D CT scans, which tended to overest…
Questions about Patent Ductus Arteriosus
What are the outcomes of using paracetamol versus ibuprofen for PDA in preemies?
Paracetamol and ibuprofen are similarly effective for closing PDA in preterm infants, with paracetamol possibly causing fewer side effects like gastrointestinal bleeding or kidney issues.
Full answer →Does transcatheter PDA closure improve safety compared to traditional fluoroscopy methods?
Yes, transcatheter PDA closure with echocardiographic guidance or preprocedural CT improves safety and reduces radiation compared to traditional fluoroscopy methods.
Full answer →Can ibuprofen or paracetamol effectively treat PDA in preterm infants?
Yes, both ibuprofen and paracetamol (acetaminophen) can effectively close a hemodynamically significant PDA in preterm infants, but recent trials show no benefit over expectant management for early treatment.
Full answer →Is bedside ligation a safe option for an extremely low birth weight infant with PDA?
Bedside ligation is considered a safe and optimized option for extremely low birth weight infants with PDA, often allowing them to be weaned from ventilation quickly.
Full answer →