الملخص
Objectives: There is limited data published from outside North America and Europe comparing the outcomes of a modified Blalock-Taussig shunt (MBTS) and ductal stenting as the first palliative procedure for infants with duct-dependent pulmonary circulation. This study reports the National Heart Center’s, in Muscat, Oman, experience in comparing the outcomes of these 2 interventions. Methods: This retrospective study included all infants with duct-dependent pulmonary circulation who received either a MBTS or ductal stenting from 2016–2019. The primary outcomes were death or re-interventions. Secondary outcomes included death, subsequent re-interventions, survival to subsequent surgical intervention, survival to hospital discharge, post-procedural mechanical ventilation and duration of intensive care unit stay. Results: A total of 71 patients were included in the study, 33 (46%) of whom received ductal stenting. The prevalence of the primary outcome (death or re-intervention) in the patent ductus arteriosus (PDA) stent group was 54.5% versus 31.6% in the MBTS group but this was not statistically significant (P = 0.06). There was no difference between the 2 groups in terms of time to next surgical intervention (P = 0.233). The PDA stent group had shorter post-procedural, mechanical ventilation and intensive care unit stay durations (P <0.05). Syndromic patients were at higher risk of mortality compared to non-syndromic patients. Conclusion: MBTS and ductal stenting are both acceptable modalities as a palliative intervention for infants with duct-dependant pulmonary circulation. Syndromic patients are at higher risk of mortality. This can be considered an important factor for patient selection.
بيانات النشر
- المعرّف الرقمي
- 10.18295/squmj.12.2023.073
- المجلة
- مجلة جامعة السلطان قابوس الطبية, 23(5), 10-15
- الناشر
- جامعة السلطان قابوس
- وصول مفتوح
- وصول مفتوح ذهبي
- الترخيص
- CC BY-ND 4.0
اقتبس هذه المقالة
APA 7
Al-Kindi, H., Al Harthi, H., Al Balushi, A., Atiq, A., Shaikh, S., Al Alawi, K., & Al-Farqani, A. (2025). Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation. Sultan Qaboos University Medical Journal, 23(5), 10-15. https://doi.org/10.18295/squmj.12.2023.073
MLA 9
Al-Kindi, Hamood, et al. "Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation." Sultan Qaboos University Medical Journal, vol. 23, no. 5, 2025, pp. 10-15. https://doi.org/10.18295/squmj.12.2023.073.
شيكاغو (المؤلف–التاريخ)
Al-Kindi, Hamood, Hasina Al Harthi, Asim Al Balushi, Ahlam Atiq, Samiuddin Shaikh, Khalid Al Alawi, and Abdullah Al-Farqani. 2025. "Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation." Sultan Qaboos University Medical Journal 23 (5): 10-15. https://doi.org/10.18295/squmj.12.2023.073.
هارفارد
Al-Kindi, H., Al Harthi, H., Al Balushi, A., Atiq, A., Shaikh, S., Al Alawi, K. and Al-Farqani, A. (2025) 'Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation', Sultan Qaboos University Medical Journal, 23(5), pp. 10-15. doi:10.18295/squmj.12.2023.073.
فانكوفر
Al-Kindi H, Al Harthi H, Al Balushi A, Atiq A, Shaikh S, Al Alawi K, et al. Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation. Sultan Qaboos University Medical Journal. 2025;23(5):10-15. doi:10.18295/squmj.12.2023.073
IEEE
H. Al-Kindi, H. Al Harthi, A. Al Balushi, A. Atiq, S. Shaikh, K. Al Alawi, and A. Al-Farqani, "Blalock-Taussig Shunt versus Ductal Stenting as Palliation for Duct-Dependent Pulmonary Circulation," Sultan Qaboos University Medical Journal, vol. 23, no. 5, pp. 10-15, 2025, doi: 10.18295/squmj.12.2023.073.