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Comparison of suture ligation and clip application for the treatment of patent ductus arteriosus in preterm neonates

2006; Elsevier BV; Volume: 132; Issue: 3 Linguagem: Inglês

10.1016/j.jtcvs.2006.04.040

1097-685X

Parkash Mandhan, Udaya Samarakkody, Stuart Brown, Askar Kukkady, Kiki Maoate, Russell Blakelock, Spencer W. Beasley,

Mechanical Circulatory Support Devices

We reviewed the experience of 2 centers performing surgical ligation of patent ductus arteriosus in preterm neonates to identify whether the choice of surgical technique--suture ligation or clip application--affected outcome.Between 2000 and 2005, 67 newborn infants had open surgical closure of patent ductus arteriosus: 33 by suture ligation and 34 by clip application. The groups were similar in age and sex.The average length of the procedure was 55.8 +/- 13.7 minutes for suture ligation and 30.8 +/- 8.7 minutes for clip application (P < .05). Six neonates had intraoperative bleeding in the suture ligation group. Four patients had significant postoperative complications in the suture ligation group, compared with 2 in the clip application group.This study demonstrates that clip application results in a significant reduction in the operative time and, possibly, in less morbidity.