Targeting of treatment of the patent ductus arteriosus using early echocardiography
- Conditions
- Patent ductus arteriosusCardiovascular - Normal development and function of the cardiovascular system
- Registration Number
- ACTRN12608000295347
- Lead Sponsor
- Martin Kluckow
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 370
Infants born < 29 weeks gestational age
Infants < 12 hours old
Echocardiogram to assess ductal size able to be performed
1] Intraventricular haemorrhage grade 3 – 4 at time of initial scan.
2] Baby is clinically unstable and not expected to survive.
3] Congenital anomalies predicted to influence neurodevelopmental outcome
4] Structural heart disease
5] R->L shunt - infants with near systemic or suprasystemic pulmonary pressure who may benefit from some RV pressure relief – R>L ductal flow for >33% of cardiac cycle. Rescan in same 12 hour time frame.
6] Contraindication to use of indomethacin or ibuprofen (Platelet count <50,000, Creatinine >120 micromol/L, use of NSAID antenatally)
7] Unlikely to be able to commence first dose of treatment by 12 hours of age
8] Consent not given
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method