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Aortic obstructions in infants and children
- Source :
- Progress in Pediatric Cardiology. 3:79-86
- Publication Year :
- 1994
- Publisher :
- Elsevier BV, 1994.
-
Abstract
- This review describes the history, technique, and results of balloon angioplasty in the treatment of native and recurrent aortic coarctation in infants and children. The results of angioplasty are compared to those obtained with several surgical techniques. In 24 children treated for recoarctation, the mean peak systolic pressure difference across the obstruction was reduced from 40.3 ± 17.4 mm Hg before angioplasty to 8.5 ± 8.3 mm Hg immediately afterward and 7.5 ± 7.5 mm Hg at an average 54-month follow-up review. In children and older infants, the procedure is successful as demonstrated in several series by acceptable relief of obstruction (residual pressure difference Complications of the procedure include aortic aneurysm, dissection and rupture, cerebrovoscular accident, femoral arterial injury, paradoxical hypertension, and death. The early results of balloon angioplasty for aortic coarctation indicate that the procedure is as safe and effective as surgery for the treatment of recoarctation in children. In children and older infants with native coarctation, the procedure is a less invasive and less costly alternative to surgery. In neonates, angioplasty is much less effective and should be considered as a palliative alternative to surgery.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
medicine.disease
Balloon
Surgery
Balloon dilatation
Residual pressure
Dissection
Aortic aneurysm
Early results
Angioplasty
Internal medicine
Pediatrics, Perinatology and Child Health
medicine
Cardiology
Cardiology and Cardiovascular Medicine
business
Arterial injury
Subjects
Details
- ISSN :
- 10589813
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Progress in Pediatric Cardiology
- Accession number :
- edsair.doi...........f4297612583f51f0ed0a5f92237ea4e6