Methods: Medical records of children in whom percutaneous axillary artery access was attempted between 12/2014-12/2019 at Texas Children's Hospital were reviewed. We aimed to assess the efficacy and safety of the use of percutaneous axillary artery access in children undergoing cardiac catheterization procedures. Axillary artery access may facilitate these complex procedures. Qureshi, Baylor College of Medicine/Texas Children's Hospital, United Statesīackground: Children with complex congenital heart disease/other lesions often require alternative arterial access.
O-2 | Percutaneous Axillary Artery Access Facilitates Complex Cardiac Procedures in Children Bassel Mohammad Nijres, Baylor College of Medicine/Texas Children's Hospital, United States Osman K Yousafzai, Baylor College of Medicine/Texas Children's Hospital, United States Athar M. Ĭonclusions: Given the high complication rates associated with surgical PDA ligation, transcatheter appears to be a safer and cost-equivalent alternative for this extremely vulnerable population.ĭisclosures: H. In the In-House category however, median weight at procedure was significantly lower in the surgical group compared to the transcatheter group. Among Transfer patients, baseline demographic and clinical characteristics were similar between the two groups. Results: The study cohort included 167 patients who underwent surgical PDA ligation and 107 who had transcatheter PDA closure. Because this hospital is a referral center, all analyses were stratified by those patients who Transferred back to the referring facility following index procedure versus In-House patients who stayed in the NICU until hospital discharge or mortality. Analyses included t-tests and chi square tests for continuous and categorical variables, respectively. Complications were defined as untoward events requiring further interventions or causing death. Total and department-specific inpatient costs during the index hospitalization were estimated from the Pediatric Health Information System, adjusted for inflation to 2019 dollars, and log transformed to meet the normality assumption. Methods: A retrospective study of premature infants weighing <2.5kg who underwent surgical PDA ligation (between 2008-2014) or transcatheter PDA closure (2014-2019) at a large regional hospital. Sathanandam, University Of Tennessee /Le Bonheur Children's Medical Center, United Statesīackground: Surgical and transcatheter closure of patent ductus arteriosus (PDA) are both effective strategies in premature neonates but the clinical outcomes and the economic impact of these therapeutic modalities is unknown. Pediatric O-1 | Transcatheter Closure of PDA Compared to Surgical Ligation in Premature Neonates: Clinical Outcomes and Cost Comparison Hitesh Agrawal, University Of Tennessee /Le Bonheur Children's Medical Center, United States Sarah Parkerson, University Of Tennessee /Le Bonheur Children's Medical Center, United States Donald E Lighter, The University of Tennessee, United States Jay H Fowke, The University of Tennessee Health Science Center, United States Patricia J Goedecke, The University of Tennessee Health Science Center, United States Jeffrey A Towbin, University Of Tennessee /Le Bonheur Children's Medical Center, United States Benjamin R Waller III, Lebonheur Children's Hospital, United States Christopher J Knott-Craig, Lebonheur Children's Hospital, United States Shyam K.
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