| Aortic coarctation complicated by wall aneurysm: The role of covered stents. | |
MedLine Citation:
|
PMID: 20824756 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Aortic aneurysm formation complicating aortic coarctation carries a risk of rupture with high mortality rate. Surgical repair has a significant mortality and may be associated with central nervous system injury, including paraplegia. Transcatheter intervention alternatively carries a risk of aneurysmal rupture. METHODS: Between July 2004 and September 2009, 140 consecutive patients underwent percutaneous stent implantation to treat aortic coarctation. Eleven (7.9%) patients had coarctation associated with aortic wall aneurysm: three with native coarctation with wall aneurysm, three with previous surgical coarctation repair, three with previous balloon angioplasty, and two with previous bare stent implantation. The e-PTFE-covered 8Zig Cheatham-Platinum stents were used to treat all 11 patients. RESULTS: Median age at procedure was 13 years (range, 6-66 years). Successful device deployment was achieved in all patients. Systolic pressure gradient reduced significantly from a median baseline of 30 mm Hg (range, 25-50 mm Hg) to a postprocedural median of 5 mm Hg (range, 0-20 mm Hg) (P < 0.01). Aortic diameter increased from a median value of 6 mm (range, 0.5-11 mm) to a median value of 12 mm (range, 10-22 mm) (P < 0.001). No early complications occurred, with successful relief of stenoses and complete sealing of all aneurysms. Median follow-up was 50 months (range, 16-61 months). Redilatation was required in four patients (one patient with intrastent restenosis secondary to significant endothelial growth, whereas the other three patients showed restenosis secondary to somatic growth). Redilatation with a larger balloon was performed without complication in all cases. CONCLUSIONS: Our data show that covered stents are a safe and effective treatment with low risk of complications for the treatment of coarctation associated with aortic wall aneurysm. © 2011 Wiley Periodicals, Inc. |
Authors:
|
Gianfranco Butera; Mohamed Heles; Simon T Macdonald; Mario Carminati |
Related Documents
:
|
22099316 - Single stage repair of a complex pathology: end stage ischaemic cardiomyopathy, ascendi... 21821266 - Fifteen-year experience with minimally invasive approach for reoperations involving the... 2263596 - Variations with age and serum cholesterol level in the topographic distribution of macr... 12814066 - Intercostal artery aneurysm complicating aortic coarctation in a 71-year-old-woman. 21679076 - Technique for branched thoracic stent-graft repair of a chronic type a aortic dissectio... 2031416 - Intra- and paraprosthetic valve regurgitation. a color doppler echocardiographic study. |
Publication Detail:
|
Type: Journal Article Date: 2011-06-06 |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 78 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-11-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
|
Languages: eng Pagination: 926-32 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Wiley Periodicals, Inc. |
Affiliation:
|
Pediatric Cardiology and GUCH Unit, Istituto Policlinico San Donato, IRCCS, San Donato Milanese, Italy. gianfra.but@lycos.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transapical aortic balloon valvuloplasty in a 890-gram infant: hybrid is better!
Next Document: Wingspan stenting with modified predilation for symptomatic middle cerebral artery stenosis.