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Blalock-Taussig shunt versus patent ductus arteriosus stent as first palliation for ductal-dependent pulmonary circulation lesions: A review of the literature
- Source :
- Congenital Heart Disease. 14:105-109
- Publication Year :
- 2019
- Publisher :
- Computers, Materials and Continua (Tech Science Press), 2019.
-
Abstract
- Background Infants with ductal-dependent pulmonary blood flow (PBF) often undergo a palliative procedure to provide a stable source of PBF prior to definitive palliation or repair. In the current era, a surgical shunt or ductal stent is used to provide PBF. We aimed to review the current literature comparing ductal stents to surgical shunts. Methods and results Four small, single-center studies and two larger multicenter studies were identified comparing ductal stent to surgical shunt. Combined, these studies showed ductal stent resulted in similar or improved pulmonary artery growth, fewer complications, shorter length of stay, less diuretic use, and improved survival compared to surgical shunt. Despite inherent minor variability among the studies, ductal stent appears to be associated with more frequent reinterventions. Conclusions Surgical shunts remain essential to the care of these patients, but ductal stent is a reasonable alternative, and may provide some advantages in select patients with ductal-dependent PBF.
- Subjects :
- Pulmonary Circulation
medicine.medical_specialty
medicine.medical_treatment
Improved survival
Pulmonary Artery
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Ductus arteriosus
medicine.artery
medicine
Humans
Pulmonary blood flow
Radiology, Nuclear Medicine and imaging
Surgical shunt
Blalock–Taussig shunt
skin and connective tissue diseases
Blalock-Taussig Procedure
Ductus Arteriosus, Patent
business.industry
Palliative Care
Infant, Newborn
Stent
Palliative procedure
Ductus Arteriosus
General Medicine
Surgery
medicine.anatomical_structure
Pediatrics, Perinatology and Child Health
Pulmonary artery
Stents
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1747079X
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Congenital Heart Disease
- Accession number :
- edsair.doi.dedup.....f1f2bf42c371488761282eb5b7678d40