Bedside Transcatheter Patent Ductus Arteriosus Device Occlusion in an Extremely Low Birth Weight Neonate: A Novel Approach in a High-Risk Population
Author(s) -
Tiffany M. Pouldar,
Robert Wong,
Myriam Almeida-Jones,
Evan M. Zahn,
Lorraine Lubin
Publication year - 2021
Publication title -
case reports in anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-6390
pISSN - 2090-6382
DOI - 10.1155/2021/4716997
Subject(s) - medicine , ductus arteriosus , low birth weight , cardiac catheterization , percutaneous , neonatal intensive care unit , occlusion , closure (psychology) , population , pediatrics , intensive care medicine , surgery , pregnancy , genetics , environmental health , economics , market economy , biology
Extremely low birth weight (ELBW) infants weighing less than 1 kilogram are at a high-risk for delayed patent ductus arteriosus (PDA) closure. Percutaneous PDA closure offers a less invasive approach when compared with surgical PDA closure, which may provide faster recovery times and less transfusion requirements. However, this procedure involves transporting tenuous, unstable patients from the neonatal intensive care unit (NICU) to the catheterization laboratory which introduces many potential risks for the neonate. Performing percutaneous PDA closure at the bedside offers a successful alternative to performing the procedure in the catheterization laboratory and avoiding risk associated with transporting ELBW neonates.
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