Balloon coarctation angioplasty in an adult

Lababidi, Zuhdi; Madigan, Niall P.; Wu, Jiunn-Ren; Murphy, Thomas J.

doi:10.1016/0002-9149(84)90461-2

Cited by 39 publications

(10 citation statements)

References 4 publications

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“…Balloon dilatation of postoperative recoarctation has been recommended as the treatment of ~h o i c e ,~~,~~ despite the fact that the reported experience with balloon angioplasty of postoperative aortic recoarctations is limited, 24,[32][33][34][35] especially when compared with that of native coarctations. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] We have r e c~m m e n d e d~~~~~~~~~ balloon angioplasty as the therapeutic procedure of choice for relief of severe, previously unoperated coarctation of the aorta in the neonate and young infant, while only a few other workers1s recommended balloon angioplasty for native coarctations. More recently, Peny et aL3* suggested use of angioplasty for patients with native coarctations who are high surgical risk candidates.…”

Section: Rubio and Limon Lasonl Described A Technique Of Dilatation Omentioning

confidence: 99%

“…None of these patients with aneurysm required therapy nor did any aneurysms rupture, although elective resection and repair was advocated by some workem60 We restudied 20 children 6-30 months following dilatation of native coarctations and 4 children, [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] months following dilatation of recoarctation and none devela* aneurysms.39 The reason for this difference is not clear. We postulated use of large balloons, inadvertent manipulation of cathetetdguidewires in the region of freshly dilated aortic coarctation, and misinterpretation or overinterpretation of aneurysm as possible causes.31 The observations of h e r et a2.…”

Section: Complicationsmentioning

confidence: 99%

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Balloon angioplasty of aortic coarctation: A review

Rao

1989

Clinical Cardiology

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Summary: Since the initial report of balloon coarctation angioplasty in 1982, several workers used this technique in native coarctation and postoperative recoarctation. Immediate and intermediate-term follow-up nxdts are generally good with a small chance for recoarctation and aneurysmal formation at the site of coarctation. The causes of recoarctation were identified and include age less than 1 year, isthmus hypoplasia, and a small coarcted aortic segment. Despite good immediate and follow-up results, recommendations for use of balloon angioplasty as a treatment procedure of choice are clouded by the reports of development of aneurysms at the site of coarctation. We feel that balloon coarctation angioplasty is the treatment of choice in neonates and small infants, while general use of this technique in both native and postoperative coarctations in older children should await follow-up results in larger numbers of children at selected centers.

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Section: Rubio and Limon Lasonl Described A Technique Of Dilatation Omentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Balloon angioplasty of aortic coarctation: A review

Rao

1989

Clinical Cardiology

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“…Awareness of this condition, along with monitoring and prompt treatment of hypertension following COA repair may have decreased the incidence of full-blown post-coarctectomy syndrome. One of our patients and an adult patient presented by Lababidi 39 developed a forme fruste of this syndrome which resolved spontaneously. Based on this information it is likely that a small percentage of patients may develop "post-coarctectomy-like syndrome" following PBA and should be watched for and treated appropriately.…”

Section: Discussionmentioning

confidence: 64%

Relief of Coarctation of the Aorta without Thoracotomy: The Experience with Percutaneous Balloon Angioplasty

1986

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The purpose of this paper is to present our experience with percutaneous balloon angioplasty (PBA) for coarctation of the aorta (COA). The children between the ages of one month and 11 years (mean age 18 months) underwent PBA during an eight-month period ending September 1985. Number 5 to 9 French catheters with 5-to 15-mm balloons were used, depending upon the size of the angiographically measured coarcted segment and the aorta proximal to COA. The peak inflation pressure used in the balloons varied from 4 to 8 atmospheres of pressure and the duration of inflation was 8 to 15 seconds. At least four balloon dilatations were performed in every case. Following PBA for COA, descending aortic systolic pressure rose from 86.4 ± 17.7 to 107.8 ± 20 (p <0.02) and the peak systolic pressure gradient across the COA fell from 44.1 ± 19.1 to 8.5 ± 8.5 (p <0.001). Increase in the angiographically measured coarcted segment, decrease in Doppler estimate of coarctation gradient, and improvement in the femoral pulses also occurred. No significant complications were encountered. PBA for COA is a safe and effective alternative to surgical coarctectomy. It may become the procedure of choice for treatment of coarctation of the aorta once favorable long-term results are documented.

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“…(31,32) Although most frequently used in neonates, infants and children, it can also be used in adults. (33) In principle, this procedure may also be indicated in uncomplicated native aortic coarctation, but the point is controversial.…”

Section: Interventional and Surgical Treatmentmentioning

confidence: 99%