TY - JOUR
T1 - Results and mid-long-term follow-up of stent implantation for native and recurrent coarctation of the aorta
AU - Chessa, Massimo
AU - Carrozza, Marianna
AU - Butera, Gianfranco
AU - Piazza, Luciane
AU - Negura, Diana Gabriela
AU - Bussadori, Claudio
AU - Bossone, Edoardo
AU - Giamberti, Alessandro
AU - Carminati, Mario
PY - 2005/12
Y1 - 2005/12
N2 - Aims: Since the late 1980s, endovascular stents have been used in the treatment of several vascular lesions. In the last decades, stent implantation has been proposed as a reliable option for the treatment of coarctation of the aorta. In this setting, it seems to have some advantages, rendering it superior to angioplasty alone. Methods and results: Between December 1997 and December 2004, 71 consecutive patients (44 males and 27 females) underwent cardiac catheterization for native or recurrent coarctation of the aorta. Seventy-four stents were implanted. All discharged patients were enrolled in a follow-up programme. Every patient underwent clinical evaluation, echo-colour Doppler studies, and exercise ECG at 1 and 6 months after the stent implantation. Peak systolic gradient dropped from 39.3 ± 15.3 to 3.6 ± 5.5 mmHg (P = 0.0041). The diameter of the coarcted segment increased from 8.3 ± 2.9 to 16.4 ± 3.8 mm (P = 0.037). In our series, one death occurred in a 22-year-old girl with a recurrent coarctation of the aorta, just after stent implantation. The rate of minor complications was
AB - Aims: Since the late 1980s, endovascular stents have been used in the treatment of several vascular lesions. In the last decades, stent implantation has been proposed as a reliable option for the treatment of coarctation of the aorta. In this setting, it seems to have some advantages, rendering it superior to angioplasty alone. Methods and results: Between December 1997 and December 2004, 71 consecutive patients (44 males and 27 females) underwent cardiac catheterization for native or recurrent coarctation of the aorta. Seventy-four stents were implanted. All discharged patients were enrolled in a follow-up programme. Every patient underwent clinical evaluation, echo-colour Doppler studies, and exercise ECG at 1 and 6 months after the stent implantation. Peak systolic gradient dropped from 39.3 ± 15.3 to 3.6 ± 5.5 mmHg (P = 0.0041). The diameter of the coarcted segment increased from 8.3 ± 2.9 to 16.4 ± 3.8 mm (P = 0.037). In our series, one death occurred in a 22-year-old girl with a recurrent coarctation of the aorta, just after stent implantation. The rate of minor complications was
KW - Adult with congenital heart defect
KW - Aortic coarctation
KW - Stent
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U2 - 10.1093/eurheartj/ehi491
DO - 10.1093/eurheartj/ehi491
M3 - Article
C2 - 16186136
AN - SCOPUS:28544432333
VL - 26
SP - 2728
EP - 2732
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 24
ER -