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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: Karen.Luyt@Bristol.ac.uk
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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 

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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