Procedural closure of the patent ductus arteriosus in preterm infants: a clinical practice guideline.

Autor: Mitra S; Division of Neonatology, Department of Pediatrics, University of British Columbia, Vancouver, Canada., Bischoff AR; Division of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, USA., Sathanandam S; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA., Lakshminrusimha S; Department of Pediatrics, UC Davis Children's Hospital, Sacramento, CA, USA., McNamara PJ; Division of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, USA. patrick-mcnamara@uiowa.edu.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Oct; Vol. 44 (10), pp. 1402-1408. Date of Electronic Publication: 2024 Jul 12.
DOI: 10.1038/s41372-024-02052-9
Abstrakt: Importance: Transcatheter closure of the patent ductus arteriosus (PDA) is being increasingly adopted as an alternative to surgical PDA closure in preterm infants.
Objective: To develop rigorous clinical practice guideline recommendations on procedural PDA closure in preterm infants.
Methods: The principles of the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Evidence-to-Decision (EtD) framework were used to develop the guideline recommendations. An e-Delphi survey of 45 experts was conducted and recommendations that reached ≥75% agreement were accepted as consensus.
Main Recommendations: Procedural PDA closure may be considered in extremely preterm infants (<28 weeks gestational age) requiring invasive mechanical ventilation >10 postnatal days and confirmed to have a large hemodynamically significant PDA, at centers with high local rates of death and/or bronchopulmonary dysplasia (conditional recommendation). If sufficient institutional expertise is available and patient characteristics are suitable, transcatheter PDA closure may be considered as the preferred approach over PDA ligation (conditional recommendation).
(© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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