Video-assisted thoracoscopic clipping of patent ductus arteriosus: close to the gold standard and minimally invasive competitor of percutaneous techniques

Villa, Emmanuel; Folliguet, Thierry; Magnano, Diego; Eynden, Frédéric Vanden; Bret, Emmanuel Le; Laborde, F

doi:10.2459/01.jcm.0000215275.55144.17

Cited by 19 publications

(11 citation statements)

References 24 publications

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“…There is a wide variation (0.7-67%) in the recorded incidence of LVCP post PDA ligation, as summarised in Table 4. 3,[7][8][9][10][11][12][13][14][23][24][25][26][27][28][29][30][31] The incidence (31%) of LVCP in the current study is comparable to that reported in the literature. Our study included infants less than 29 weeks gestation and the nasopharyngolaryngoscopy was done only if the infants were deemed symptomatic by the attending clinician.…”

Section: Discussionsupporting

confidence: 80%

Unilateral vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely preterm infants

Pharande

Karthigeyan

Walker

et al. 2017

J Paediatrics Child Health

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Section: Discussionsupporting

confidence: 80%

Unilateral vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely preterm infants

Pharande

Karthigeyan

Walker

et al. 2017

J Paediatrics Child Health

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“…Due to the fact that three articles [11–13] compared two different cohorts of patients, each cohort was treated as a separate study, therefore 33 studies ( n = 4887 subjects) were included into this meta-analysis. Specifically, the study by Davis et al [11] contained two groups of patients, one treated by ligation and one by clip method, and thus for the purposes of analysis was considered as two separate studies.…”

Section: Resultsmentioning

confidence: 99%

Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis

Henry

Hsieh

Sanna³

et al. 2018

Pediatr Cardiol

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Surgical closure of a patent ductus arteriosus (PDA) is considered standard treatment for symptomatic neonates refractory to medical therapy. Sometimes, iatrogenic injury to the left recurrent laryngeal nerve during the procedure can result in vocal cord paralysis (VCP). This study aimed to estimate the incidence of VCP in patients after surgical PDA closure and to identify any associated risk factors and morbidities associated with VCP in the preterm infant population. A thorough search of the major electronic databases was conducted to identify studies eligible for inclusion into this meta-analysis. Studies reporting data on the incidence of VCP (primary outcomes) or risk factors and morbidities associated with VCP in premature infant population (secondary outcomes) were included. A total of 33 studies (n = 4887 patients) were included into the analysis. Overall pooled incidence estimate of VCP was 7.9% (95%CI 5.3-10.9). The incidence of VCP after PDA closure was significantly much higher in premature infants (11.2% [95%CI 7.0-16.3]) than in non-premature patients (3.0% [95%CI 1.5-4.9]). The data showed that VCP was most common after surgical ligation and in studies conducting universal laryngoscopy scoping. The risk factors for postoperative VCP in preterm infants included birth weight and gestational age. In addition, VCP was significantly associated with the occurrence of bronchopulmonary dysplasia, gastrostomy tube insertion, and increased duration of mechanical ventilation. Vocal cord paralysis remains a frequent complication of surgical closure of a PDA, especially in premature neonates, and is associated with significant post-procedural complications.

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“…Thirty-two studies that satisfied the inclusion criteria were included in the analysis (Fig 1). OCEBM levels of evidence varied from level 3 (9 studies) [9][10][11][14][15][16]20,23,26 to level 4 (23 studies) [6][7][8]12,13,[17][18][19]21,22,24,25,[27][28][29][30][31][32][33][34][35][36][37] ( Table 1). Occurrence of UVFP, type of surgery, patient demographics, and vocal fold assessment are reported in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…7,8,[10][11][12][13][14][15]17,20,21,24,[27][28][29][30][31][34][35][36][37] The weighted pooled proportion was 8.7% (95% CI, 5.4% to 12.6%) (Fig 3). Heterogeneity analysis measured an I 2 of 81.6% (95% CI, 65.0% to 88.4%).…”

Section: Analysis By Type Of Surgerymentioning

confidence: 99%

Unilateral Vocal Fold Paralysis After Congenital Cardiothoracic Surgery: A Meta-analysis

et al. 2014

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BACKGROUND AND OBJECTIVE: There is variation in the literature in regard to the occurrence of unilateral vocal fold paralysis (UVFP) after congenital cardiothoracic surgery. The objective of this study was to identify and appraise the evidence for the occurrence of UVFP after congenital cardiothoracic surgery in a meta-analysis.METHOD: A comprehensive search strategy in Medline, Embase, and the Cochrane Library was conducted, limited to English publications. Two independent reviewers screened studies for eligibility criteria. Of the 162 identified studies, 32 (20%) met the inclusion criteria. Using the Oxford Centre for Evidence-Based Medicine guidelines, 2 reviewers appraised the level of evidence, extracted data, and resolved discrepancies by consensus. Weighted pooled proportion and 95% confidence intervals (CIs) are reported.

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Video-assisted thoracoscopic clipping of patent ductus arteriosus: close to the gold standard and minimally invasive competitor of percutaneous techniques

Abstract: The success rate of VATS clipping compares favorably with the thoracotomic approach but without chest wall trauma and it may have a very favorable cost-effective therapeutic balance compared to transcatheter techniques.

Cited by 19 publications

References 24 publications

Unilateral vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely preterm infants

Unilateral vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely preterm infants

Incidence, Risk Factors, and Comorbidities of Vocal Cord Paralysis After Surgical Closure of a Patent Ductus Arteriosus: A Meta-analysis

Unilateral Vocal Fold Paralysis After Congenital Cardiothoracic Surgery: A Meta-analysis

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