PMID: 8962571Dec 1, 1996Paper

Acute results of balloon angioplasty of native coarctation versus recurrent aortic obstruction are equivalent. Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry Investigators

Journal of the American College of Cardiology
B W McCrindleL A Latson

Abstract

This study sought to compare the immediate results and risk factors for suboptimal outcomes of percutaneous balloon angioplasty for native versus recurrent aortic obstruction. Some cardiology centers have been reluctant to adopt balloon angioplasty for treatment of native aortic coarctation, while advocating balloon angioplasty over an operation for treatment of postsurgical or recurrent aortic obstruction. Acute results were analyzed from 970 procedures (422 native and 548 recurrent lesions) performed between 1982 and 1995 in 907 patients from 25 centers. An acute suboptimal outcome was defined as one or more of the following: residual systolic pressure gradient > or = 20 mm Hg, residual proximal to distal systolic pressure ration > or = 1.33 or a major complication (death, aortic transmural tear, stroke). Bal loon angioplasty significantly (p = 0.0001) increased lesion diameter fo r both native (mean [+/= SD] 128 +/= 94%) and recurrent aortic obstruction (97 +/= 87%), with a significantly greater increase in the native group (p = 0.0001). A reduction in systolic pressure gradients was significant in both groups (p = 0.0001), but slightly higher (p = 0.01) for native (-74 +/- 24%) versus recurrent obstruction (-70 +/- 31%). De...Continue Reading

References

Mar 1, 1992·The American Journal of Cardiology·R AnjosM Tynan
Mar 1, 1987·Circulation·R S CooperR J Golinko
Nov 1, 1987·Journal of the American College of Cardiology·R H BeekmanA Rosenthal
Dec 1, 1982·Circulation·J E LockW R Castaneda-Zuniga
Mar 1, 1995·Journal of the American College of Cardiology·S E FletcherC E Mullins
Oct 1, 1994·The American Journal of Cardiology·A M MendelsohnR H Beekman
Jul 1, 1993·Pediatric Cardiology·K A Krabill, D W Hunter
Feb 1, 1996·Journal of the American College of Cardiology·P S RaoA D Wilson
Feb 1, 1996·Journal of the American College of Cardiology·F L Hanley
Feb 8, 1992·Journal of Interventional Cardiology·Z Lababidi

❮ Previous
Next ❯

Citations

May 18, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J KoerselmanH W Plokker
Aug 22, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M R RectoE Austin
Dec 18, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G P UssiaG Pongiglione
Apr 20, 2000·Indian Journal of Pediatrics·S Radhakrishnan, S Shrivastava
Aug 20, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·B E GroenemeijerR H Heijmen
Nov 19, 2004·Pediatric Cardiology·C A C PedraJ E R Sousa
May 4, 2005·Pediatric Cardiology·J Suárez de LezoJ Lopez-Pujol
Mar 10, 2001·The Annals of Thoracic Surgery·A G MageeS A Qureshi
Jan 5, 2000·The Annals of Thoracic Surgery·N C PoirierW G Williams
Sep 17, 1998·The Journal of Pediatrics·A M Mendelsohn, D Shim
Apr 28, 1999·Pediatric Clinics of North America·R T Fedderly
Apr 28, 1999·Pediatric Clinics of North America·J PihkalaL N Benson
Nov 3, 2001·Journal of the American College of Cardiology·M A HamdanW E Hellenbrand
Nov 3, 2001·Journal of the American College of Cardiology·E Rosenthal
Aug 26, 1998·Journal of the American College of Cardiology·G S ShiraliR L Larsen
Jan 15, 2000·Journal of the American College of Cardiology·S MaheshwariW E Hellenbrand
Dec 12, 2001·Pediatrics International : Official Journal of the Japan Pediatric Society·T Nakanishi
Jun 1, 2007·Seminars in Interventional Radiology·D R Turner, P A Gaines
Jun 11, 2002·Journal of Interventional Cardiology·C Duke, S A Qureshi
Oct 30, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Cheng-Liang LeeTa-Cheng Huang
Jan 27, 2007·Journal of Cardiovascular Medicine·Tom R Karl
Jan 1, 2009·Annals of Pediatric Cardiology·Bjoern PetersFelix Berger
May 7, 2008·Radiology·Ana Maria GacaGeorge S Bisset
Jul 3, 2007·Current Cardiology Reports·Eric M HorlickLee N Benson
May 7, 2013·The Annals of Thoracic Surgery·Ourania PreventzaJoseph S Coselli
Jun 28, 2011·Current Problems in Cardiology·Jamil AboulhosnJohn S Child
Apr 13, 2010·The American Journal of Cardiology·Abraham RothmanHumberto Restrepo
Aug 10, 2005·Seminars in Thoracic and Cardiovascular Surgery·Gary Webb
Dec 11, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wendy WhitesideAimee Armstrong
Apr 29, 1998·Current Problems in Pediatrics·A Rothman
Jan 29, 2005·The Journal of Thoracic and Cardiovascular Surgery·Brian W McCrindleUNKNOWN Congenital Heart Surgeons Society
Nov 26, 2009·The Annals of Thoracic Surgery·John W BrownMark W Turrentine
Apr 4, 2006·Journal of the American College of Cardiology·Aphrodite TzifaShakeel A Qureshi
Sep 26, 2009·JACC. Cardiovascular Interventions·Uthara R MohanJohn W Moore
Oct 10, 1998·The Journal of Thoracic and Cardiovascular Surgery·A G SakopoulosJ W Brown
Sep 8, 2004·Expert Review of Cardiovascular Therapy·Ralf HolzerZiyad M Hijazi
Jul 27, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Troy A JohnstonThomas K Jones
Aug 2, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·C VarmaPeter R McLaughlin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Aortic Coarctation

Aortic coarctation is a congenital condition characterized by narrowing of the aorta. Discover the latest research on this disease here.