Journal article
Does echocardiography facilitate determination of hemodynamic significance attributable to the ductus arteriosus?
European journal of pediatrics, Vol.168(8), pp.907-914
2009
DOI: 10.1007/s00431-009-0983-3
PMID: 19387684
Abstract
Introduction: The assignment of hemodynamic significance to a patent ductus remains a challenge for neonatal intensivists. The impact is medical uncertainty and ongoing debate as to when treatment should be provided if ever.
Discussion: Patent ductus arteriosus is associated with significant neonatal morbidities including necrotizing enterocolitis and brain injury; causality has not been proven. In addition, there are limited data suggesting a beneficial effect of therapeutic intervention. The inability to accurately differentiate the pathological ductus arteriosus from the innocent ductus arteriosus may contribute, in part, to the lack of scientific evidence of benefit or causality. Our group has previously proposed the need for a staging system to characterize the clinical and echocardiography impact of the ductus arteriosus. This approach requires comprehensive echocardiography evaluation to assess ductal size and the degree of pulmonary overcirculation/systemic hypoperfusion related to the transductal shunt.
Conclusion: In this review, we will highlight the evidence for echocardiography markers of hemodynamic significance and speculate as to how they may facilitate improved decision making in the neonatal intensive care unit.
Details
- Title: Subtitle
- Does echocardiography facilitate determination of hemodynamic significance attributable to the ductus arteriosus?
- Creators
- Arvind SEHGAL - Monash Newborn, Monash Medical Centre, Melbourne, Victoria, AustraliaPatrick J MCNAMARA - Physiology & Experimental Medicine Program, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada
- Resource Type
- Journal article
- Publication Details
- European journal of pediatrics, Vol.168(8), pp.907-914
- Publisher
- Springer
- DOI
- 10.1007/s00431-009-0983-3
- PMID
- 19387684
- ISSN
- 0340-6199
- eISSN
- 1432-1076
- Language
- English
- Date published
- 2009
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984093317002771
Metrics
12 Record Views