초록접수 현황
| 17F-085 | 포럼 발표 |
Pulmonary Artery Banding in Very-low-birth-weight Premature Infants in Neonatal Intensive Care Unit
Joo Yeon Kim, Tae-Gook Jun, Ji-Hyuk Yang
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Purpose : Pulmonary artery banding is essential procedure for neonates and young infants who has excessive pulmonary blood flow. But low-birth-weight premature infants usually intubated and need several monitoring and drug-infusion lines. To eliminate the risk associated with transportation, our center performs the operation in the neonatal intensive care unit.
Methods : Between May 2007 and May 2017, 9 very-low-birth-weight premature infants underwent pulmonary artery banding in the NICU. Five patients were male and 4 patients were female. The mean body weight was 1.45 kg (range, 0.72-1.91). All of the patients had large VSD, 2 of them had coarctation of aorta, and one of them had truncus arteriosus. Five patients underwent Pulmonary artery banding with patent ductus arteriosus ligation. Two patients underwent bilateral pulmonary artery banding.
Results : Mean follow up duration was 28.44 months (range, 2-97). Seven patients had follow up procedures – VSD closure, Coarctoplasty, and Rastelli operation. We had one postoperative mortality, the patient had preoperative NEC. He was progressed NEC and hepatic failure.
Conclusion : Our study shows that it is safe and effective to perform bedside pulmonary artery banding in the NICU. There are no deaths and no complications related to the operation. For the safety of the operation at the bedside in the NICU, team approach is important. The team is consisted of the cardiac surgeon, pediatric cardiologist, neonatal intensive care specialist, scrub and circulating nurses.
Methods : Between May 2007 and May 2017, 9 very-low-birth-weight premature infants underwent pulmonary artery banding in the NICU. Five patients were male and 4 patients were female. The mean body weight was 1.45 kg (range, 0.72-1.91). All of the patients had large VSD, 2 of them had coarctation of aorta, and one of them had truncus arteriosus. Five patients underwent Pulmonary artery banding with patent ductus arteriosus ligation. Two patients underwent bilateral pulmonary artery banding.
Results : Mean follow up duration was 28.44 months (range, 2-97). Seven patients had follow up procedures – VSD closure, Coarctoplasty, and Rastelli operation. We had one postoperative mortality, the patient had preoperative NEC. He was progressed NEC and hepatic failure.
Conclusion : Our study shows that it is safe and effective to perform bedside pulmonary artery banding in the NICU. There are no deaths and no complications related to the operation. For the safety of the operation at the bedside in the NICU, team approach is important. The team is consisted of the cardiac surgeon, pediatric cardiologist, neonatal intensive care specialist, scrub and circulating nurses.
첨부파일 : NICUbanding (1).pptx
책임저자: Ji-Hyuk Yang
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
발표자: Joo Yeon Kim, E-mail : jydream85@naver.com