导管依赖性肺循环新生儿动脉导管支架置入术的机构经验：手术结果和中期随访。

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian heart journal Pub Date : 2025-09-24 DOI:10.1016/j.ihj.2025.09.002

Bhavik Champaneri, Abhay Pota, Tarun Parmar, Jigar Surti, Shilpa Deodhar, Amit Kungwani, Suresh Bishnoi, Amit Mishra, Trushar Gajjar, Shyam S Kothari

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引用次数: 0

摘要

目的：导管支架置入术（DS）已成为新生儿导管依赖性肺循环（DDPC）的关键干预措施，为外科分流术提供了一种侵入性更小的选择。方法：本回顾性研究评估了2018年1月至2023年8月在大容量三级心脏中心进行的新生儿DS的手术和中期结果。结果：本研究纳入124例有症状的新生儿。主要结局包括手术成功，定义为术后血氧饱和度(SpO2)≥85%，以及计划手术修复的生存率。评估的次要结局包括意外再干预、肺动脉生长和6个月内的全因死亡率。成功率为98.5%。总住院时间3.17±4天。全因死亡率为8.9%。42%的患者在随访中发现肺动脉支起源狭窄。结论：在不同的DDPC病例中，DS是一种可行且有效的治疗策略。需要进一步的研究来探索基于个体患者特征的长期结果和最佳支架选择。

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Institutional experience with ductus arteriosus stenting in neonates with duct dependent pulmonary circulation: Procedural outcomes & mid-term follow up.

Objective: Ductal stenting (DS) has emerged as a critical intervention for neonates with duct-dependent pulmonary circulation (DDPC), offering a less invasive alternative to surgical shunts.

Methods: This retrospective study evaluates the procedural and mid-term outcomes of neonatal DS at a high-volume tertiary cardiac centre between January 2018 and August 2023.

Results: The study involved 124 symptomatic neonates. Primary outcomes included procedural success, defined as achieving post-procedural oxygen saturation (SpO2) ≥85 %, and survival to planned surgical repair. Secondary outcomes assessed included unplanned re-interventions, pulmonary artery growth, and all-cause mortality within 6 months. Success rate was 98.5 %. Total hospital stay was 3.17 ± 4 days. All-cause mortality was 8.9 %. Branch PA origin stenosis was found in 42 % cases on follow up.

Conclusion: The study concludes that DS is a feasible and effective strategy in a variety of different cases of DDPC. Further research is needed to explore long-term outcomes and optimal stent selection based on individual patient characteristics.

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来源期刊

Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

52 days

期刊介绍： Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.