Percutaneous treatment of abdominal coarctation in children using a covered stent

Mara Pilati, Giacomo Pongiglione, M. G. Gagliardi

Research output: Contribution to journalArticle

Abstract

Coarctation of the abdominal aorta is extremely rare. It generally involves a long segment of the descending aorta and causes uncontrolled and unexplainable hypertension in children. The therapeutic choice is very challenging because acute and chronic complications are reported for both the surgical and the percutaneous approaches. The two reported cases of abdominal coarctation were treated primarily and successfully through the use of covered stents. Three covered stents were implanted in two children. No complication occurred with either procedure. At this writing, an 18-month follow-up assessment has found the patients in good health with no restenosis at the coarctation site. Covered stent implantation in children with abdominal coarctation is a feasible, safe, and effective procedure. It provides adequate relief of symptoms and reduces the risk of aneurysm formation. To avoid covering important side branches with polytetrafluoroethylene, this type of procedure must be preceded by precise study of the aorta and its branches.

Original languageEnglish
Pages (from-to)2080-2085
Number of pages6
JournalPediatric Cardiology
Volume34
Issue number8
DOIs
Publication statusPublished - Dec 2013

Fingerprint

Stents
Aortic Coarctation
Abdominal Aorta
Polytetrafluoroethylene
Thoracic Aorta
Aneurysm
Aorta
Therapeutics
Hypertension
Health

Keywords

  • Aortic coarctation
  • Covered stent
  • Midaortic syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Percutaneous treatment of abdominal coarctation in children using a covered stent. / Pilati, Mara; Pongiglione, Giacomo; Gagliardi, M. G.

In: Pediatric Cardiology, Vol. 34, No. 8, 12.2013, p. 2080-2085.

Research output: Contribution to journalArticle

Pilati, Mara ; Pongiglione, Giacomo ; Gagliardi, M. G. / Percutaneous treatment of abdominal coarctation in children using a covered stent. In: Pediatric Cardiology. 2013 ; Vol. 34, No. 8. pp. 2080-2085.
@article{7d4430574fde4e16b04744a3038f49fb,
title = "Percutaneous treatment of abdominal coarctation in children using a covered stent",
abstract = "Coarctation of the abdominal aorta is extremely rare. It generally involves a long segment of the descending aorta and causes uncontrolled and unexplainable hypertension in children. The therapeutic choice is very challenging because acute and chronic complications are reported for both the surgical and the percutaneous approaches. The two reported cases of abdominal coarctation were treated primarily and successfully through the use of covered stents. Three covered stents were implanted in two children. No complication occurred with either procedure. At this writing, an 18-month follow-up assessment has found the patients in good health with no restenosis at the coarctation site. Covered stent implantation in children with abdominal coarctation is a feasible, safe, and effective procedure. It provides adequate relief of symptoms and reduces the risk of aneurysm formation. To avoid covering important side branches with polytetrafluoroethylene, this type of procedure must be preceded by precise study of the aorta and its branches.",
keywords = "Aortic coarctation, Covered stent, Midaortic syndrome",
author = "Mara Pilati and Giacomo Pongiglione and Gagliardi, {M. G.}",
year = "2013",
month = "12",
doi = "10.1007/s00246-013-0690-8",
language = "English",
volume = "34",
pages = "2080--2085",
journal = "Pediatric Cardiology",
issn = "0172-0643",
publisher = "Springer New York",
number = "8",

}

TY - JOUR

T1 - Percutaneous treatment of abdominal coarctation in children using a covered stent

AU - Pilati, Mara

AU - Pongiglione, Giacomo

AU - Gagliardi, M. G.

PY - 2013/12

Y1 - 2013/12

N2 - Coarctation of the abdominal aorta is extremely rare. It generally involves a long segment of the descending aorta and causes uncontrolled and unexplainable hypertension in children. The therapeutic choice is very challenging because acute and chronic complications are reported for both the surgical and the percutaneous approaches. The two reported cases of abdominal coarctation were treated primarily and successfully through the use of covered stents. Three covered stents were implanted in two children. No complication occurred with either procedure. At this writing, an 18-month follow-up assessment has found the patients in good health with no restenosis at the coarctation site. Covered stent implantation in children with abdominal coarctation is a feasible, safe, and effective procedure. It provides adequate relief of symptoms and reduces the risk of aneurysm formation. To avoid covering important side branches with polytetrafluoroethylene, this type of procedure must be preceded by precise study of the aorta and its branches.

AB - Coarctation of the abdominal aorta is extremely rare. It generally involves a long segment of the descending aorta and causes uncontrolled and unexplainable hypertension in children. The therapeutic choice is very challenging because acute and chronic complications are reported for both the surgical and the percutaneous approaches. The two reported cases of abdominal coarctation were treated primarily and successfully through the use of covered stents. Three covered stents were implanted in two children. No complication occurred with either procedure. At this writing, an 18-month follow-up assessment has found the patients in good health with no restenosis at the coarctation site. Covered stent implantation in children with abdominal coarctation is a feasible, safe, and effective procedure. It provides adequate relief of symptoms and reduces the risk of aneurysm formation. To avoid covering important side branches with polytetrafluoroethylene, this type of procedure must be preceded by precise study of the aorta and its branches.

KW - Aortic coarctation

KW - Covered stent

KW - Midaortic syndrome

UR - http://www.scopus.com/inward/record.url?scp=84889572242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84889572242&partnerID=8YFLogxK

U2 - 10.1007/s00246-013-0690-8

DO - 10.1007/s00246-013-0690-8

M3 - Article

C2 - 23515761

AN - SCOPUS:84889572242

VL - 34

SP - 2080

EP - 2085

JO - Pediatric Cardiology

JF - Pediatric Cardiology

SN - 0172-0643

IS - 8

ER -