Results and mid-long-term follow-up of stent implantation for native and recurrent coarctation of the aorta

Massimo Chessa, Marianna Carrozza, Gianfranco Butera, Luciane Piazza, Diana Gabriela Negura, Claudio Bussadori, Edoardo Bossone, Alessandro Giamberti, Mario Carminati

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)2728-2732
Number of pages5
JournalEuropean Heart Journal
Volume26
Issue number24
DOIs
Publication statusPublished - Dec 2005

Keywords

  • Adult with congenital heart defect
  • Aortic coarctation
  • Stent

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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