Journal article
Procedural closure of the patent ductus arteriosus in preterm infants: a clinical practice guideline
Journal of perinatology, Vol.44(10), pp.1402-1408
10/2024
DOI: 10.1038/s41372-024-02052-9
PMID: 38997403
Abstract
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).
Details
- Title: Subtitle
- Procedural closure of the patent ductus arteriosus in preterm infants: a clinical practice guideline
- Creators
- Souvik Mitra - University of British ColumbiaAdrianne R. Bischoff - University of Iowa, NeonatologyShyam Sathanandam - University of Tennessee Health Science CenterSatyan Lakshminrusimha - UC Davis Children's HospitalPatrick J. McNamara - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of perinatology, Vol.44(10), pp.1402-1408
- Publisher
- SPRINGERNATURE
- DOI
- 10.1038/s41372-024-02052-9
- PMID
- 38997403
- ISSN
- 0743-8346
- eISSN
- 1476-5543
- Language
- English
- Electronic publication date
- 07/12/2024
- Date published
- 10/2024
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984658260202771
Metrics
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