Publications by authors named "Karl-Wilhelm Olsson"

Article Synopsis
  • - The study examines surgical approaches to treating patent ductus arteriosus (PDA) in extremely premature infants (born <26 weeks), focusing on two large Swedish hospitals over six years.
  • - Results showed that one hospital performed PDA surgery more frequently and at an earlier age, yet both centers had similar survival rates for infants, but different outcomes in terms of bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP).
  • - The earlier surgical intervention was linked to lower severe BPD rates but higher severe ROP rates, indicating a complex relationship between treatment timing and clinical outcomes in extremely preterm infants.
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Objective: Abdominal aortic graft and endograft infections (AGIs) are rare complications following aortic surgery. Radical surgery (RS) with resection of the infected graft and reconstruction with extra-anatomical bypass or in situ reconstruction is the preferred therapy. For patients unfit for RS, a semi-conservative (SC), graft preserving strategy is possible.

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Importance: Endovascular treatment is not recommended for aortic pathologies in patients with connective tissue diseases (CTDs) other than in redo operations and as bridging procedures in emergencies. However, recent developments in endovascular technology may challenge this dogma.

Objective: To assess the midterm outcomes of endovascular aortic repair in patients with CTD.

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Necrotizing enterocolitis (NEC) is a fatal disease where current diagnostic tools are insufficient for preventing NEC. Early predictive biomarkers could be beneficial in identifying infants at high risk of developing NEC. To explore early biomarkers for predicting NEC in extremely preterm infants (EPIs).

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There are still uncertainties about the timing and indication for surgical ligation of patent ductus arteriosus (PDA) in pre-term infants, where lower gestational age (GA) usually is predictive for surgical treatment. Our aim was to assess differences in clinical characteristics and outcomes between surgically treated and matched non-surgically treated PDA in extremely pre-term infants. All extremely pre-term infants born 2010-2016 with surgically treated PDA (Ligated group; = 44) were compared to non-surgically treated infants (Control group; = 44) matched for gestational age (+/-1 week) and time of birth (+/-1 month).

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Purpose: Growth factors and inflammatory and angiogenetic proteins are involved in the development of retinopathy of prematurity (ROP). However, no early biochemical markers are in clinical use to predict ROP. By performing cluster analysis of multiple biomarkers, we aimed to determine patient groups with high and low risk for developing ROP.

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Aim: We assessed whether early haemodynamically significant patent ductus arteriosus (hsPDA) predicted persistent patent ductus arteriosus (PDA) in extremely preterm infants.

Methods: This prospective observational study of 60 infants born at 22-27 weeks of gestational age (GA) without any major congenital anomalies or heart defects was conducted at Uppsala University Children's Hospital from November 2012 to May 2015. Respiratory and systemic circulatory parameters were continuously recorded, and echocardiographic examinations performed daily during the first three days of life.

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Background: Early identification of infants at risk for complications from patent ductus arteriosus (PDA) may improve treatment outcomes. The aim of this study was to identify biochemical markers associated with persistence of PDA, and with failure of pharmacological treatment for PDA, in extremely preterm infants.

Methods: Infants born at 22-27 weeks' gestation were included in this prospective study.

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Objective. To identify factors affecting closure of patent ductus arteriosus (PDA) in newborn infants born at 22-27 weeks gestational age (GA) during pharmacological treatment with cyclooxygenase inhibitors. Method.

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