Balloon coarctation angioplasty in adolescents and adults: Early and intermediate results

Fawzy, Mohammed E.; Dunn, Bruce E.; Galal, Omar; Wilson, Neil; Shaikh, Ayaz Hussain; Sriram, R.; Durán, Carlos M.G.

doi:10.1016/0002-8703(92)90936-p

Cited by 68 publications

(38 citation statements)

References 20 publications

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“…As in older children, results of balloon dilation of unoperated CoA in adults have been encouraging [5,34,36,38,65,74,106,146,155,156]. Immediate satisfactory results (pressure gradients <20 mmHg after dilation) were noted in all series in more than 74% of the patients [34,38,106,156].…”

Section: The Adultmentioning

confidence: 80%

“…No ''safe'' upper limit could be predicted from this study, although a diameter of greater than 3 times the CoA seemed to carry a greater risk of deep and extensive tears [84]. In subsequent clinical studies, balloon diameters have been based either on the CoA diameter [39,82], the isthmus diameter [40,42,92,106,166], the aorta diameter at the level of the diaphragm [5,38,131], or some combination [75,123,124,155] (Fig. 5).…”

Section: Technique Of Dilationmentioning

confidence: 87%

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Transcatheter Treatment of Coarctation of the Aorta: A Review

et al. 1998

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Section: The Adultmentioning

confidence: 80%

Section: Technique Of Dilationmentioning

confidence: 87%

Transcatheter Treatment of Coarctation of the Aorta: A Review

et al. 1998

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“…But there are some limitations of stents also which includes flexibility, large delivery system to introduce into child or young adult, ability to further re-dilatation to adult size, radial strength, sharp edges, ability to reposition, allowing access to side branch for covered stentetc. [6][7][8] The advancement of stent technology aimed to address these desirable characteristics. The most commonly used stent is the balloon expandable stent which allows further expansion of the stent as patient grows.…”

Section: Discussionmentioning

confidence: 99%

Stenting of Coarctation of Aorta in a Post Device Closure of Patent Ductus Arteriosus and Balloon Coarctoplasty patient: A Case Report

Fatema

Sarker

2016

Cardiovasc. j.

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Intravascular stent treatment of coarctation of Aorta has proved successful in 96-98% cases. The decision as to which method should be utilized for treatment of coarctation, out of the option of surgical, balloon angioplasty and stent implantation is still controversial in our center. We do balloon angioplasty for majority of cases as stents are expensive and patients are very young. Here we are reporting a case who had device closure of patent ductus arteriosus (PDA) 3 month ago along with balloon angioplasty of coarctation. But patient developed re coarctation within one month and then intravascular stent was implanted.Cardiovasc. j. 2016; 9(1): 64-67

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“…63,67,70 Aortic Aneurysm and Dissection As demonstrated in Table 2, there is a remarkable variability in the reported frequency of aneurysms forming acutely after BA for CoA, anywhere from 0% to 13% of patients. 11,50,54,67,[75][76][77][78][79][80][81][82][83] The earliest registry study of BA for CoA, which included 907 patients and is not included in Table 2, reported 4 transmural tears, which may represent any or various of the defined AWI types. 84 In addition, many series did not specifically report on AWI.…”

Section: Aortic Rupturementioning

confidence: 99%

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

Tretter

Jones

McElhinney

2015

Circ: Cardiovascular Interventions

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Abstract-Aortic wall complications can occur in unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. This review summarizes the available literature and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on acute and follow-up AWI after endovascular treatment.There have been 23 reported cases of aortic rupture after endovascular treatment for CoA, including angioplasty alone, bare metal stenting, and primary covered stent therapy. Even if these published cases represent only a minority of ruptures that have actually occurred, the incidence is substantially <1%. The incidence of acute aneurysm formation was 0% to 13% after angioplasty, 0% to 5% after bare metal stent placement, and <1% after covered stent placement. The reported incidence and natural history of both acute and new AWI during follow-up after endovascular therapy for CoA varies considerably, likely secondary to ascertainment and reporting biases and inconsistent definitions. Although important AWI after endovascular treatment of CoA seems to be declining in frequency with increasing experience and improving technology, it remains one of the most important potential adverse outcomes. Long-term surveillance for new AWI and monitoring of existing AWI is mandatory, with institution of appropriate treatment when necessary. A central research focus in this population should be determination of the appropriate treatment for both native and recurrent CoA across various ages with regard to limiting recurrent CoA and preventing associated aortic wall complications, in addition to determining the appropriate treatment of various AWI. Consistent definitions and reporting are necessary to truly understand the incidence of, risk factors for, and measures protective against AWI after angioplasty or stent implantation for CoA. Contemporary Reviews in Interventional CardiologyA ortic wall complications can occur in both unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. In this review, we summarize the literature on and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on endovascular treatment. Before reviewing AWI related to balloon angioplasty (BA) and stent therapy, it is important to set the context by providing an overview of historical, anatomic, and physiological factors that may be related to aortic wall complications in CoA patients, as well as a brief discussion of AWI in patients with surgically repaired CoA.

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Balloon coarctation angioplasty in adolescents and adults: Early and intermediate results

Cited by 68 publications

References 20 publications

Transcatheter Treatment of Coarctation of the Aorta: A Review

Transcatheter Treatment of Coarctation of the Aorta: A Review

Stenting of Coarctation of Aorta in a Post Device Closure of Patent Ductus Arteriosus and Balloon Coarctoplasty patient: A Case Report

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

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