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Results of stent implantation for native and recurrent coarctation of the aorta-follow-up of up to 13 years
- Source :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 78(3)
- Publication Year :
- 2011
-
Abstract
- Background: To evaluate the mid and long-term prognosis after stenting of native or recurrent CoA, we studied the cardiovascular parameters in the follow-up period up to 13 years. Methods and results: Between 1993 and 2006, 68 patients underwent stent implantation for aortic coarctation (average age 25.5 years, range 5.7–65 years, average weight 65.5 kg, range 32–122 kg). Forty-six (68%) patients were aged >17 years. Stenting was performed for native coarctation in 41 and for recurrent coarctation in 27 patients, in 23 (34%) patients with a covered stent. Redilation was carried out in 26 (38%) patients. The invasive systolic gradient decreased from mean (±SD) 25 (±15) mm Hg to 5 (±5) mm Hg (P < 0.0005). The descending aorta pressure increased from 80 (±15) mm Hg to 101 (±18) mm Hg. The systolic right arm blood pressure decreased from a mean of 153 (±24) mm Hg to 129 (±18) mm Hg (P < 0.0005). Complications like small dissections were rare. Follow-up (6 days to 13 years, mean 41 months) was available in 66 patients, in 23 after reintervention at a mean of 71 months, range of 8 months to 10.3 years. Fifty-one percent remained clinically hypertensive. Conclusions: Stenting of aortic coarctation gives good medium-term results. Frequent reintervention relate to deliberately under-dilating stents during the initial procedure. The reintervention rate has reduced since the introduction of covered stents. © 2011 Wiley-Liss, Inc.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
medicine.medical_treatment
Coarctation of the aorta
Blood Pressure
Body weight
Prosthesis Design
Aortic Coarctation
Young Adult
Recurrence
Internal medicine
medicine.artery
Angioplasty
London
medicine
Stent implantation
Humans
Radiology, Nuclear Medicine and imaging
Child
Covered stent
Antihypertensive Agents
Aged
business.industry
Stent
General Medicine
Middle Aged
medicine.disease
Surgery
Blood pressure
Treatment Outcome
Descending aorta
Retreatment
Cardiology
Female
Stents
Cardiology and Cardiovascular Medicine
business
Angioplasty, Balloon
Follow-Up Studies
Subjects
Details
- ISSN :
- 1522726X
- Volume :
- 78
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions
- Accession number :
- edsair.doi.dedup.....84fa9295306553b7f36a14ae4df2d9a1