Short‐ and medium‐term outcomes for patent ductus arteriosus stenting in neonates ≤2.5 kg with duct‐dependent pulmonary circulation

Background Morbidity with surgical systemic‐to‐pulmonary artery shunting (SPS) in infants ≤2.5 kg has remained high. Patent ductus arteriosus (PDA) stenting may be a valid alternative. The objective of this study is to evaluate outcomes following PDA stenting in patients ≤2.5 kg from four large tertiary centers. Methods Retrospective review of all neonates ≤2.5 kg with duct‐dependent pulmonary circulation who underwent PDA stenting. Procedural details, pulmonary arterial growth, reinterventions, surgery type, and outcomes were assessed. Results PDA stents were implanted in 37 of 38 patients attempted (18 female) at a median procedural weight of 2.2 kg (interquartile range [IQR], 2–2.4 kg). Seven patients (18%) had a genetic abnormality and 16 (42%) had associated comorbidities. The median intensive care unit stay was 4 days (IQR, 2–6.75 days), and the median hospital stay was 20 days (IQR, 16–57.25). One patient required a rescue shunt procedure, with three others requiring early SPS (