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Am J Perinatol 2021; 38(05): 477-481
DOI: 10.1055/s-0039-1698459
Original Article

Short-Term Complications Associated with Surgical Ligation of Patent Ductus Arteriosus in ELBW Infants: A 25-Year Cohort Study

Megan Foster
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Lea H. Mallett 
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Vinayak Govande
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Niraj Vora
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Abel Castro
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Muppala Raju
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
,
Joseph B. Cantey
1   Department of Pediatrics, Baylor Scott & White McLane Children's Medical Center, Temple, Texas
› Author Affiliations Funding None.
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Abstract

Objective This article aims to determine the incidence of short-term complications of surgical patent ductus arteriosus (PDA) ligations, the factors associated with those complications, and whether complications are associated with poor long-term outcomes.

Study Design Retrospective cohort study of all extremely low birth weight (ELBW, < 1,000 g) infants who underwent surgical PDA ligation at a single-center neonatal intensive care unit from 1989 to 2015. Demographic, clinical, and laboratory data were reviewed. The primary outcome was development of a short-term (< 2 weeks from ligation) surgical complication. Secondary outcomes include bronchopulmonary dysplasia (BPD), length of stay, and mortality.

Results A total of 180 ELBW infants were included; median gestational age and birth weight was 24 weeks and 683 g, respectively, and 44% of infants had at least one short-term complication. Need for vasopressors (33%) was the most common medical complication and vocal cord paralysis (9%) was the most common surgical complication. Younger corrected gestational age at time of repair was associated with increased risk for complications. Mortality, length of stay, and BPD rates were similar between infants with and without complications.

Conclusion Serious complications were seen in a minority of infants. Additional research is needed to determine if short-term complications are associated with long-term adverse outcomes.

Keywords

patent ductus arteriosus - surgical ligation - complications - vocal cord paralysis


Publication History

Received: 07 May 2019

Accepted: 29 August 2019

Article published online:
04 November 2019

© 2019. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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