Evidence map›Paper›PMID 31372292›Full record

ArticleJournal of thoracic disease2019

Descriptive review of patent ductus arteriosus ligation by video-assisted thoracoscopy in pediatric population: 7-year experience.

Tomasz Stankowski, Sleiman Sebastian Aboul-Hassan, Farzaneh Seifi-Zinab, Dirk Fritzsche, Marcin Misterski, Ivan Sazdovski, Jakub Marczak, Anna Szymańska, Lukasz Szarpak, Kurt Ruetzler and 2 more

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In one paragraph

Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 3 countries.

Tomasz StankowskiSana Heart Center Cottbus, Cottbus, Germany.
Sleiman Sebastian Aboul-HassanHeart Diseases Center MEDINET, Nowa Sol, Poland.
Farzaneh Seifi-ZinabSana Heart Center Cottbus, Cottbus, Germany.
Dirk FritzscheSana Heart Center Cottbus, Cottbus, Germany.
Marcin MisterskiDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Ivan SazdovskiSana Heart Center Cottbus, Cottbus, Germany.
Jakub MarczakHeart Diseases Center MEDINET, Nowa Sol, Poland.
Anna SzymańskaHeart Diseases Center MEDINET, Nowa Sol, Poland.
Lukasz SzarpakMedical Faculty, Lazarski University, Warsaw, Poland.
Kurt RuetzlerDepartments of Outcomes Research and General Anesthesiology, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Sanchit AhujaDepartment of Anesthesiology, Henry Ford Health System, Detroit, Michigan, USA.
Bartłomiej PerekDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Foundation of Cardiac Surgery Development · PLPoznan University of Medical Sciences · PLSana Klinikum · DECleveland Clinic · USHenry Ford Health System · USUczelnia Łazarskiego · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLess invasive procedures such as video-assisted thoracoscopic surgery (VATS) are desirable for patent ductal artery (PDA) ligation when pharmacologic or conservative approaches fail. Studies done on VATS-PDA ligation showed better outcomes when compared to open thoracotomies, however, complication rates remain conflicting. Learning curve can be a postulated reason which may also precludes the acceptability. We therefore sought to report our single centered 7-year experience of PDA closure with VATS.

methodsSingle centered retrospective study of 127 patients who underwent PDA ligature with VATS from February 2012 to October 2018. The cohort was divided into two groups, i.e., 2012-2014 (early phase) and 2015-2018 (late phase) and were further compared. Early and late outcomes, including mortality and morbidity, were analyzed.

resultsThe included patients had a mean age of 1.7 years. Among them, preterm infants accounted for 38.6%, there was no operative mortality. Six deaths (4.7%) occurred during in-hospital stay, predominantly in the neonatal intensive care unit (NICU) due to massive cerebral bleeding and cardiopulmonary failure. Overall conversion rate to thoracotomy was 16.5%. It decreased from 20% in early phase to less than 5% in late phase. Fifty patients (39.4%) required transfer to the NICU. The mean in-hospital stay for the remainders was only 2.2±1.6 days. All but two patients discharged home survived follow-up period without any adverse events and nobody among non-converted cases expressed concerns regarding chest deformity. A 5-year probability of survival estimated according to the Kaplan-Meier curve was 93.6%.

conclusionsVATS is a safe as well as efficient method for closure of PDA that ensures satisfactory late cosmetic results. Postoperative mortality and extended hospital stay may be attributed to prematurity. Although learning curve exists it does not affect the safety and late outcomes.

Indexed as

complicationsPatent ductus arteriosus (PDA)safetysurgical treatmentvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID31372292
PMCPMC6626769
OpenAlexW2947636826

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.