Short-term outcomes of patent ductus arteriosus ligation in preterm neonates: Reason for concern?

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

We evaluated outcomes of preterm infants following surgical ligation of patent ductus arteriosus (PDA). We performed a retrospective chart review. Our cohort (n=82) had a median (range) gestational age of 25.5 (23 to 28) weeks and birth weight of 765 (484 to 1150) g. Ligation was the initial intervention in the primary group (n=28) and was performed after failed medical therapy in the secondary group (n=54). At 48 hours following ligation, an increase in fraction of inspired oxygen (FiO2) and ventilatory and pressor support were observed in 49 (60%), 35 (43%), and 15 (18%) infants, respectively. The median (range) duration to return to preoperative FiO2 was 3 (1 to 30) days and extubation was 16 (1 to 98) days. Rates of bronchopulmonary dysplasia (BPD), severe intraventricular hemorrhage, necrotizing enterocolitis, and retinopathy were 42.7%, 32.9%, 19.6%, and 11%, respectively. Outcomes did not differ between primary and secondary ligation groups, nor between early (4 weeks, n=52) and late ligation (>4 weeks old, n=30). A lower gestation was significantly associated with postoperative deterioration and BPD. Preterm infants undergoing PDA ligation often experience a postoperative deterioration and have an extremely high incidence of comorbidities. Whether the ductus itself or the therapeutic ligation is causally linked to these adverse outcomes remains to be determined.

Original languageEnglish
Pages (from-to)431-437
Number of pages7
JournalAmerican Journal of Perinatology
Volume27
Issue number6
DOIs
StatePublished - 2010

Keywords

  • Ductus arteriosus
  • Ligation
  • Preterm

Fingerprint

Dive into the research topics of 'Short-term outcomes of patent ductus arteriosus ligation in preterm neonates: Reason for concern?'. Together they form a unique fingerprint.

Cite this