UNASSIGNED: A systematic search was conducted using the PubMed database and meta-analysis was performed. Risk ratio and mean difference were used to compare the reported outcomes of studies across patients receiving PDA stent and surgical shunt.
UNASSIGNED: In total, 1094 patients from 8 comparative observational studies were included. The PDA stent group had a lower mortality rate and a shorter hospital length of stay than the systemic-pulmonary surgical shunt group, although at the expense of increased reintervention rates. There were higher proportions of patients with single-ventricle physiology and single-source pulmonary blood flow in the surgical shunt group.
UNASSIGNED: PDA stenting appears to be a noninferior or possibly superior method of palliation for duct-dependent pulmonary circulation compared with systemic-pulmonary surgical shunt, recognizing, however, that patients receiving surgical shunt more often had single-ventricle physiology or single-source pulmonary blood flow in this meta-analysis.
■使用PubMed数据库进行系统搜索并进行荟萃分析。使用风险比和平均差异来比较接受PDA支架和手术分流的患者的研究报告结果。
■总共,纳入了来自8项比较观察性研究的1094名患者。PDA支架组比体肺分流术组有更低的死亡率和更短的住院时间。尽管以提高再干预率为代价。在手术分流组中,单心室生理和单源肺血流的患者比例更高。
■与体肺外科分流术相比,PDA支架置入术对导管依赖性肺循环的缓解方法似乎不逊色或可能更优,承认,然而,在这项荟萃分析中,接受手术分流术的患者更经常出现单心室生理或单源肺血流.