极低出生体重新生儿床旁经导管动脉导管未闭封堵术：高危人群中的一种新方法
Bedside Transcatheter Patent Ductus Arteriosus Device Occlusion in an Extremely Low Birth Weight Neonate: A Novel Approach in a High-Risk Population.
作者信息
Pouldar Tiffany M, Wong Robert, Almeida-Jones Myriam, Zahn Evan, Lubin Lorraine
机构信息
Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Department of Pediatric Cardiology, Smidt Heart Institute and Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
出版信息
Case Rep Anesthesiol. 2021 Oct 27;2021:4716997. doi: 10.1155/2021/4716997. eCollection 2021.
Abstract
Extremely low birth weight (ELBW) infants weighing less than 1 kilogram are at a high-risk for delayed patent ductus arteriosus (PDA) closure. Percutaneous PDA closure offers a less invasive approach when compared with surgical PDA closure, which may provide faster recovery times and less transfusion requirements. However, this procedure involves transporting tenuous, unstable patients from the neonatal intensive care unit (NICU) to the catheterization laboratory which introduces many potential risks for the neonate. Performing percutaneous PDA closure at the bedside offers a successful alternative to performing the procedure in the catheterization laboratory and avoiding risk associated with transporting ELBW neonates.
摘要
出生体重极低（ELBW）的婴儿，即体重不足1千克的婴儿，动脉导管未闭（PDA）延迟闭合的风险很高。与外科手术闭合PDA相比，经皮PDA闭合提供了一种侵入性较小的方法，这可能会使恢复时间更快，输血需求更少。然而，该手术需要将脆弱、不稳定的患者从新生儿重症监护病房（NICU）转运至导管室，这给新生儿带来了许多潜在风险。在床边进行经皮PDA闭合为在导管室进行该手术提供了一种成功的替代方案，并且避免了与转运ELBW新生儿相关的风险。
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Congenit Heart Dis. 2019 Jan;14(1):60-64. doi: 10.1111/chd.12712.
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