经导管动脉导管未闭关闭后心肺状态的变化。

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-06-16 DOI:10.1038/s41372-025-02329-7

Camryn Coley, Rishika Sakaria, Ranjit Philip, Shyam Sathanandam, Mark F Weems

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引用次数: 0

摘要

目的：评估经导管动脉导管未闭（PDA）术后新生儿的短期心肺预后。我们假设术前呼吸严重程度评分(RSS)≥4与经导管后心肺综合征（PTCS）的风险增加相关。研究设计：这是一项回顾性研究，研究对象为2022年1月至2022年12月接受经导管PDA关闭的婴儿。通过术前RSS对患者进行分组，并分析PTCS或高血压性心肺衰竭的发展情况。结果：研究纳入46例患者，平均出生体重699 g，手术体重1098 g。5例（11%）患者被确定为PTCS，基于术前RSS无差异（8 vs 14%, p = 0.66）。28例（61%）患者出现术后高血压（58 vs 64%, p = 0.77）， 12例（26%）患者出现呼吸衰竭（33 vs 18%, p = 0.32）。结论：术前RSS与术后结果无关。虽然PTCS很少发生，但术后高血压很常见。

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Changes in cardiorespiratory status after transcatheter patent ductus arteriosus closure.

Objective: We aim to assess short-term cardiorespiratory outcomes of neonates after transcatheter patent ductus arteriosus (PDA) closure. We hypothesize pre-procedure respiratory severity score (RSS) ≥ 4 is associated with increased risk of post-transcatheter cardiorespiratory syndrome (PTCS).

Study design: This was a retrospective study of infants who underwent transcatheter PDA closure from January 2022 to December 2022. Patients were divided by pre-procedure RSS and analyzed for the development of PTCS or hypertensive cardiorespiratory failure.

Result: The study included 46 patients with a mean birthweight of 699 g and procedure weight of 1098 g. PTCS was identified in 5 (11%) patients with no differences based on pre-procedure RSS (8 vs 14%, p = 0.66). Post-procedure hypertension was found in 28 (61%) patients (58 vs 64%, p = 0.77), and occurred with respiratory failure in 12 (26%) patients (33 vs 18%, p = 0.32).

Conclusion: Pre-procedure RSS was not associated with post-procedure outcomes. While PTCS occurred infrequently, post-procedure hypertension was common.

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.