ES Comparison of Immediate Intensive Care Outcomes of Patent Ductus Arteriosus Stenting Versus Modified Blalock‑Taussig‑Thomas Shunt in Infants with Ductal‑Dependent Pulmonary Circulation
Executive Summary
Joyce Darshinee Sirisani, Maruti Haranal, Kok Wai Soo, Sivakumar Sivalingam & Khairul Faizah Mohd Khalid
Published: Pediatric Cardiology 29 July 2024 epub
Background
The medical article compares two procedures used in infants with ductal-dependent pulmonary circulation: Patent Ductus Arteriosus (PDA) stenting and the Modified Blalock-Taussig-Thomas (BT) shunt. These procedures help increase blood flow to the lungs in babies with heart problems.
Key Findings:
PDA Stenting vs. BT Shunt:
PDA stenting led to better outcomes in the intensive care unit (ICU). Infants who underwent this procedure had shorter ICU stays, shorter hospital stays, and needed less time on a ventilator compared to those who had the BT shunt.
Lower Mortality:
Fewer infants died after PDA stenting (2.3%) compared to those who had the BT shunt (16%).
Hospital Stay:
Infants who had the PDA stenting spent about 9 days in the hospital, while those with the BT shunt spent around 16 days.
Complications:
The BT shunt group had higher rates of complications such as acute kidney injury and chylothorax (a condition where lymphatic fluid leaks into the chest), while the PDA stenting group had fewer complications overall.
Conclusion:
PDA stenting is shown to be a safer and more effective procedure than the BT shunt for infants with this type of heart condition. It results in shorter hospital stays, fewer complications, and better survival rates.
