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Advanced Concepts and Controversies in the Recognition and Management of Patent Ductus Arteriosus in Premature Infants
Journal article   Peer reviewed

Advanced Concepts and Controversies in the Recognition and Management of Patent Ductus Arteriosus in Premature Infants

Aisling Smith, Danielle R. Rios and Patrick J. McNamara
Clinics in perinatology
04/2026
DOI: 10.1016/j.clp.2026.03.001

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Abstract

The patent ductus arteriosus (PDA) remains one of the most debated topics within neonatology. Despite thousands of studies, there is significant heterogeneity in management practices. Although pharmacologic therapy results in increased ductal closure, no randomized controlled trial has definitively reported reduced PDA-related morbidities. We will discuss advanced concepts and controversies in the recognition and management of the PDA and highlight nuance frequently missing from interpretations of PDA-focused trials, explore issues which have precluded previous research from establishing a causal link between ductal patency and neonatal morbidity, and suggest directions for future studies investigating the potential merits of targeted ductal closure.
Hemodynamics Ductus arteriosus Neonate Prematurity

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