Document Detail


Balloon angioplasty of postoperative coarctation in the transverse arch in infants: protecting the common carotid artery.
MedLine Citation:
PMID:  14624435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed balloon angioplasty in three patients with postoperative coarctation in the transverse arch adjacent to the left common carotid artery. The age at arch reconstruction was 5, 6, and 2 days, while the interval between operation and balloon dilatation was 59 days, 87 days, and 12 months, respectively. Two balloons, one in the stenosis and the other in the left common carotid artery, were introduced over a wire sequentially and inflated simultaneously until the waist of the balloon in the arch disappeared. After balloon dilatation, a significant reduction in the peak-to-peak pressure gradient and an increase in vessel diameters were observed in all patients. Further growth of the transverse arch was documented at follow-up in two patients. No aneurysm has been detected in any patients. We believe that placing a protective balloon in the neck vessel increases safety during balloon dilatation of coarctation in the transverse arch.
Authors:
Hideshi Tomita; Satoshi Yazaki; Kohji Kimura; George Hayashi; Hideki Fujita; Yoko Okada; Ken Watanabe; Ken-ichi Kurosaki; Yasuo Ono; Toshikatsu Yagihara; Shigeyuki Echigo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  60     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-18     Completed Date:  2004-04-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  529-33     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Osaka, Japan. tomitah@sapmed.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon*
Aortic Coarctation / etiology,  therapy*
Carotid Artery, Common
Female
Heart Defects, Congenital / surgery
Humans
Infant
Male
Postoperative Complications / therapy*
Subclavian Artery / abnormalities
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2003 Dec;60(4):534-5   [PMID:  14624436 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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