Retrospective analysis of patients with thrombocytopenia after patent ductus arteriosus interventional occlusion.
- Author:
Qi-wei LIAO
1
;
Wei-hua ZHANG
;
Xue-feng GUANG
;
Yi-bing LU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Cardiac Catheterization; Child; Child, Preschool; Ductus Arteriosus, Patent; surgery; Female; Humans; Infant; Logistic Models; Male; Middle Aged; Postoperative Complications; etiology; Retrospective Studies; Risk Factors; Thrombocytopenia; etiology; Young Adult
- From: Chinese Journal of Cardiology 2013;41(3):229-232
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the risk factors of patent ductus arteriosus (PDA) patients with thrombocytopenia after PDA interventional occlusion.
METHODSThrombocytopenia occurred in 14 out of 350 patients underwent PDA occlusion. Age, gender, body weight, PDA size, occluder size, mean pulmonary arterial pressure, the dose of heparin, the manufacturer of occluder, residual shunt after operation were analyzed. The recovery time of different grades of thrombocytopenia was observed.
RESULTSMultivariate logistic regression showed that the PDA size (OR = 2.238, P < 0.05), the dose of heparin (OR = 3.247, P < 0.05), residual shunt after operation (OR = 1.912, P < 0.01) were the independent risk factors of thrombocytopenia after PDA occlusion. The recovery time of mild thrombocytopenia was (7 ± 2) days without treatment. The recovery time of moderate thrombocytopenia was (12 ± 4) days with glucocorticoids treatment. The recovery time of severe thrombocytopenia was (21 ± 7) days with platelet transfusion.
CONCLUSIONSThe occluder size, dose of heparin, residual shunt are the independent risk factors of thrombocytopenia after PDA interventional occlusion. Recover time of thrombocytopenia after PDA interventional occlusion is closely related to the severity of thrombocytopenia.
