Stent Repair for Complex Coarctation of Aorta.

JACC. Cardiovascular Interventions
J Suárez de LezoSimona Espejo Perez

Abstract

This study sought to determine whether several anatomic or evolving characteristics of the coarctation may create challenging conditions for treatment. Stent repair of coarctation of aorta is an alternative to surgical correction. We analyzed our 21-year experience in the percutaneous treatment of complex coarctation of aorta. Adverse conditions for treatment were as follow: 1) complete interruption of the aortic arch (n = 11); 2) associated aneurysm (n = 18); 3) complex stenosis (n = 30); and 4) the need for re-expansion and/or restenting (n = 21). Twenty patients (33%) belonged to more than 1 group. Ten interruptions were type A and 1 was type B. The mean length of the interrupted aorta was 9 ± 11 mm. The associated aneurysms were native in 8 patients and after previous intervention in 10 patients. Aneurysm shapes were fusiform in 8 patients and saccular in 10. The following characteristics defined complex stenosis as long diffuse stenosis, very tortuous coarctation, or stenosis involving a main branch or an unusual location. Patients previously stented at an early age, required re-expansion and/or restenting after reaching 16 ± 5 years of age. Two patients had died by 1-month follow-up. The remaining 58 patients did well and...Continue Reading

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Citations

Sep 1, 2015·JACC. Cardiovascular Interventions·Damien P Kenny, Ziyad M Hijazi
Jul 6, 2016·Frontiers in Pediatrics·Worakan Promphan, Shakeel A Qureshi
Oct 27, 2016·Revista Española De Cardiología·Luis Fernández GonzálezJuan Alcibar Villa
Mar 2, 2018·Cardiovascular and Interventional Radiology·Giuseppe Antonio MazzaGabriella Agnoletti
Mar 27, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Manuel PanMiguel Romero
Sep 10, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shabana ShahanavazGareth Morgan
May 13, 2017·Interactive Cardiovascular and Thoracic Surgery·Pierre-Emmanuel NolyPhilippe Demers

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