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Post-ligation cardiac syndrome after surgical versus transcatheter closure of patent ductus arteriosus in low body weight premature infants: a multicenter retrospective cohort study

dc.contributor.authorDUBOUE, Pierre-Marie
hal.structure.identifierNantes Université [Nantes Univ]
dc.contributor.authorPADOVANI, Paul
hal.structure.identifierBiodiversité, Gènes & Communautés [BioGeCo]
dc.contributor.authorBOUTEILLER, Xavier
dc.contributor.authorMARTIN-KABORE, Frédérique
hal.structure.identifierNantes Université [Nantes Univ]
dc.contributor.authorBENBRIK, Nadir
hal.structure.identifierCabinet de Cardiologie Foetale Pediatrique et Congenitale Adulte et Groupement d'Exploration Radiologique et Cardiovasculaire, Clinique de l'Orangerie, 67000 Strasbourg
dc.contributor.authorGRONIER, Céline
hal.structure.identifierCHU Trousseau [Tours]
dc.contributor.authorBOUISSOU, Antoine
hal.structure.identifierInstitut de Neurosciences des Systèmes [INS]
hal.structure.identifierAix Marseille Université [AMU]
hal.structure.identifierInstitut National de la Santé et de la Recherche Médicale [INSERM]
dc.contributor.authorGARNIER, Elodie
hal.structure.identifierCentre de Recherche Saint-Antoine [CRSA]
dc.contributor.authorMITANCHEZ, Delphine
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
hal.structure.identifierPhysiopathologie des Adaptations Nutritionnelles [PhAN]
dc.contributor.authorFLAMANT, Cyril
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
hal.structure.identifierPhysiopathologie des Adaptations Nutritionnelles [PhAN]
dc.contributor.authorROZÉ, Jean-Christophe
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
hal.structure.identifierITX-lab unité de recherche de l'institut du thorax UMR1087 UMR6291 [ITX-lab]
hal.structure.identifierPhysiopathologie des Adaptations Nutritionnelles [PhAN]
dc.contributor.authorBARUTEAU, Alban-Elouen
dc.contributor.authorLEFORT, Bruno
dc.date.issued2023-12-20
dc.description.abstractEnAbstract Purpose Transcatheter patent ductus arteriosus (PDA) closure is a safe and effective alternative to surgical ligation in low-body-weight infants. Post-ligation cardiac syndrome (PLCS) is defined as severe hemodynamic and respiratory collapse within 24 hours of PDA closure, requiring initiation or an increase of an inotropic agent by > 20% of preligation dosing and an absolute increase of at least 20% in ventilation parameters compared with the preoperative value. Whilst PLCS is routinely observed after surgery, its incidence remains poorly described following transcatheter closure. This study aimed to compare the incidence of PLCS after surgical versus transcatheter closure of PDA in low-body-weight premature infants. Methods Propensity scores were used to compare surgical (N = 78) and transcatheter (N = 76) groups of preterm infants who underwent PDA closure at a procedural weight less than 2000 grams in two tertiary institutions between 2009 and 2021. The primary outcome was the incidence of PLCS. Secondary outcomes included overall mortality before discharge, risk factors for PLCS, and post-procedural complications. Results Procedural success was 100% in both groups. After matching, transcatheter group experienced no PLCS vs 15% in the surgical group (p = 0.012). Furthermore, overall mortality (2% vs 17%; p = 0.03) and major complications (2% vs 23%; p = 0.002) were higher in the surgical group. Surgery (100% vs 47%; p < 0.01), gestation age (25 ± 1 vs 26 ± 2 weeks, p < 0.05) and inotropic support before closure (90% vs 29%; p < 0.001) were associated with PLCS occurrence. Conclusions Transcatheter PDA closure may be equally effective but safer than surgical PDA closure in low-body-weight premature infants.
dc.language.isoen
dc.subject.enPatent ductus arteriosus transcatheter closure surgical ligation prematurity post ligation cardiac syndrome
dc.subject.enPatent ductus arteriosus
dc.subject.entranscatheter closure
dc.subject.ensurgical ligation
dc.subject.enprematurity
dc.subject.enpost ligation cardiac syndrome
dc.title.enPost-ligation cardiac syndrome after surgical versus transcatheter closure of patent ductus arteriosus in low body weight premature infants: a multicenter retrospective cohort study
dc.typeDocument de travail - Pré-publication
dc.identifier.doi10.1007/s00431-024-05481-y
dc.subject.halSciences du Vivant [q-bio]
hal.identifierhal-04423872
hal.version1
hal.audienceInternationale
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-04423872v1
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.date=2023-12-20&rft.au=DUBOUE,%20Pierre-Marie&PADOVANI,%20Paul&BOUTEILLER,%20Xavier&MARTIN-KABORE,%20Fr%C3%A9d%C3%A9rique&BENBRIK,%20Nadir&rft.genre=preprint


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