Balloon angioplasty is preferred to surgery for aortic coarctation

Cardiology in the Young
Derek WongBrian W McCrindle

Abstract

We sought to use techniques of decision analysis to compare values or preferences for balloon angioplasty versus surgery for treatment of aortic coarctation in children. Balloon angioplasty and surgery for aortic coarctation have a differing spectrum and prevalence of outcomes and complications, making direct comparison difficult. From articles reporting treatment outcomes of native aortic coarctation from 1984 through 2005, we determined the baseline probabilities of successful treatment, complications, recoarctation and aneurysmal formation. Decision trees with baseline probabilities of these outcomes were formulated. Standard gamble interviews of medical professionals determined the preferences for the various outcomes. Final cumulative preference scores were further adjusted for both perceived mortality and procedural disutility. Sensitivity analyses determined threshold probabilities at which the score advantage changed. Final preference scores for balloon angioplasty, with a mean of 0.8999, and standard deviation of 0.0236, were significantly higher than for surgery, at a mean of 0.8873, and standard deviation of 0.0246. The score advantage for balloon angioplasty did not change when adjusted for disutility, or mortality....Continue Reading

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Citations

Dec 21, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Seraina FrühOliver Kretschmar
Jun 26, 2008·Cardiology in the Young·Edward Baker
Jan 3, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jochen GrohmannBrigitte Stiller
Apr 13, 2010·The American Journal of Cardiology·Abraham RothmanHumberto Restrepo
Oct 29, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jacob A MisenheimerZahid Amin
Jul 27, 2014·Orvosi hetilap·Csaba DzsinichLászló Szentpétery
Jan 26, 2011·Journal of Cardiovascular Disease Research·Saritas TurkayCelebi Ahmet

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Aortic Coarctation

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