| Balloon dilatation and stent implantation for vascular stenosis. | |
| | |
MedLine Citation:
|
PMID: 11737726 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Previous results show that the success rate of balloon angioplasty for pulmonary artery stenosis is low. Mortality and morbidity are significant in balloon angioplasty for coarctation of the aorta. METHODS: A review of the experience of balloon angioplasty for pulmonary artery stenosis and coarctation of the aorta at our institution was performed. A review of scientific reports of balloon angioplasty for these lesions was investigated. RESULTS: Review of our results indicates that balloon angioplasty for pulmonary artery stenosis can be performed with a high success rate (80-90%), (i) by performing it at an appropriate time, (ii) by using high-pressure balloons, (iii) by using stents, and (iv) by using intravascular ultrasound (IVUS). Major complications occurred in 3% at our institution in balloon angioplasty for pulmonary artery stenosis. Incomplete dilation has been noted in 10-25% of patients of coarctation of the aorta. Aortic aneurysm has been reported in 2-7% of patients. Re-stenosis and/or hypertension also occur. The re-stenosis rate may be decreased if the aorta is dilated until signs of intimal tear are observed. Systemic hypertension may be noted in the long term after balloon angioplasty of coarctation of the aorta, even in patients with fairly good anatomical repair. The mechanisms for hypertension are not clear, but residual stenosis, even mild, may result in upper body hypertension. CONCLUSIONS: Although there are significant limitations in the procedures, balloon angioplasty is effective in the management of pulmonary artery stenosis and coarctation of the aorta. |
| | |
Authors:
|
T Nakanishi |
Related Documents
:
|
15108036 - The technique of ophthalmic arterial infusion therapy for patients with intraocular ret... 2351406 - Clinical experience with low profile fixed wire balloon catheter system for percutaneou... 12187126 - External collar inhibits balloon-induced intimal hyperplasia in rabbits. 8174006 - Early detection of the tip position and complication of the intra-aortic balloon pump c... 21163876 - Preliminary results of the luna aneurysm embolization system in a rabbit model: a new i... 23088806 - The effect of statin use on embolic potential during carotid angioplasty and stenting. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Pediatrics international : official journal of the Japan Pediatric Society Volume: 43 ISSN: 1328-8067 ISO Abbreviation: Pediatr Int Publication Date: 2001 Oct |
Date Detail:
|
Created Date: 2001-12-12 Completed Date: 2002-01-14 Revised Date: 2008-05-21 |
Medline Journal Info:
|
Nlm Unique ID: 100886002 Medline TA: Pediatr Int Country: Australia |
Other Details:
|
Languages: eng Pagination: 548-52 Citation Subset: IM |
Affiliation:
|
Pediatric Cardiology, Heart Institute of Japan, Tokyo Women's Medical, University, Tokyo, Japan. pnakanis@hij.twmu.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Balloon
/
adverse effects,
methods* Aortic Coarctation / therapy* Constriction, Pathologic Humans Pulmonary Artery / abnormalities* Recurrence Stents* Transposition of Great Vessels / complications, surgery Ultrasonography, Interventional |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Balloon valvuloplasty for congenital heart disease: immediate and long-term results of multi-institu...
Next Document: Interventional treatment for fetus and newborn infant with congenital heart disease.