Should we "eliminate" PDA shunt in preterm infants? A narrative review

Front Pediatr. 2024 Feb 6:12:1257694. doi: 10.3389/fped.2024.1257694. eCollection 2024.

Abstract

The patent ductus arteriosus frequently poses a significant morbidity in preterm infants, subjecting their immature pulmonary vascular bed to substantial volume overload. This, in turn, results in concurrent hypoperfusion to post-ductal organs, and subsequently alters cerebral blood flow. In addition, treatment has not demonstrated definitive improvements in patient outcomes. Currently, the optimal approach remains a subject of considerable debate with ongoing research controversy regarding the best approach. This article provides a comprehensive review of existing literature.

Keywords: PDA; ligation; piccolo; preterm; shunt.

Publication types

  • Review

Grants and funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.