Comparative study of surgical and interventional closure for the treatment of patent ductus arteriosus in children
10.7507/1007-4848.201811018
- VernacularTitle:外科手术与介入封堵治疗小儿动脉导管未闭的对照研究
- Author:
FU Jian
1
,
2
;
PAN Zhengxia
1
,
2
Author Information
1. Department of Cardiac Surgery of Children'
2. s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, 400014, P.R.China
- Publication Type:Journal Article
- Keywords:
Patent ductus arteriosus;
surgery;
interventional closure
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(7):660-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study effect of different surgical treatments for patent ductus arteriosus in children. Method A total of 38 patients with patent ductus arteriosus who underwent surgical treatment of cardiothoracic surgery between January 2016 and December 2017 in our hospital were as an observation group (12 patients with severing suture, 26 patients with ligation, 14 males and 24 females, aged 0.08–8.67 years). In the same period, 38 patients with patent ductus arteriosus who underwent interventional closure in the Department of Cardiology were as a control group (17 males and 21 females, aged 0.50–5.42 years). The clinical effectiveness of the two groups was compared. Results The operation time, postoperative hospital stay, and blood transfusion rate in the observation group were higher than those in the control group with statistical differences (P<0.05). There was no statistical difference in intraoperative blood loss and complications between the two groups. Conclusions In patients with a single patent ductus arteriosus or a small catheter, interventional closure of the patent ductus arteriosus is less trauma and faster recovery. But in patients with lower weigh, premature, other intracardiac malformations, large catheter, moderate or severe pulmonary hypertension, the surgery is better.
