Transport of extremely low birth weight neonates for persistent ductus arteriosus closure in the catheterization lab

Congenital Heart Disease
Adam WillisShyam Sathanandam

Abstract

The objective of this article is to describe the elements involved with transporting extremely low birth weight (ELBW) infants from referring centers to our center's neonatal intensive care unit (NICU) and then from the NICU to the catheterization lab for transcatheter closure of patent ductus arteriosus (PDA). Several referring centers are over 300 miles away. ELBW infants are transferred in to our NICU safely for the procedure and transferred back following the procedure. A multidisciplinary team approach is necessary in order to achieve a safe transport of these fragile patients. To date, we have over 12 centers referring patients that weigh <1000 g for transcatheter PDA closure (TCPC). Three of these centers are over 300 miles away. Five other centers are between 100 and 300 miles from the hospital in which we perform TCPC. Fixed-wing aircrafts are necessary for long-distance transfers. Various modes of mechanical ventilators including transport oscillators are built into temperature- and humidity-controlled incubators in which these infants are transported. Ambulances are used to take the patient between the airport and the hospital. Shorter distance transports are accomplished via helicopters or ambulances. Transfer from ...Continue Reading

References

May 22, 2010·JACC. Cardiovascular Interventions·Edwin FrancisRaman Krishna Kumar
Oct 12, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jamie BenthamNeil Wilson
Jun 1, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Anas A Abu HazeemAndrew C Glatz
May 2, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Evan M ZahnRuchira Garg
Nov 4, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ranjit PhilipShyam Sathanandam
Nov 5, 2016·Journal of Interventional Cardiology·Nazmi NarinKazim Uzum
Nov 27, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shyam SathanandamAthar M Qureshi

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Citations

May 21, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shyam K SathanandamEvan M Zahn
Mar 2, 2021·Frontiers in Pediatrics·Sarah ParkersonShyam Sathanandam

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