Article Dans Une Revue JACC. Advances Année : 2024

Device Closure of Hemodynamically Significant Patent Ductus Arteriosus in Premature Infants

Résumé

The patent ductus arteriosus is a very common condition in preterm infants, and a hemodynamically significant patent ductus arteriosus increases morbidity and mortality in these vulnerable patients. However, despite numerous randomized controlled trials, there is no consensus regarding management. Medical therapy is typically offered as first-line treatment, although it yields limited success and carries the potential for severe adverse events. In recent years, there has been rapid development in transcatheter patent ductus arteriosus closure primary with the use of the Amplatzer Piccolo Occluder, and this has gained widespread acceptance as a safe and effective alternative to surgical ligation in extremely low-birth-weight infants weighing over 700 g. This article aims to provide an appraisal of the patient selection process, a step-by-step procedural guide, and a comprehensive review of the outcomes associated with this approach.
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hal-04815179 , version 1 (02-12-2024)

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Alban-Elouen Baruteau, Mathilde Méot, Nadir Benbrik, Céline Grunenwald, Naychi Lwin, et al.. Device Closure of Hemodynamically Significant Patent Ductus Arteriosus in Premature Infants. JACC. Advances, 2024, 3 (10), pp.101211. ⟨10.1016/j.jacadv.2024.101211⟩. ⟨hal-04815179⟩
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