Complication tardive d’un traitement chirurgical par interposition prothétique d’une coartation aortique : rupture d’un faux anévrisme anastomotique traitée par implantation endoluminale d’endoprothèse couverte
“…Using the radial/brachial approach in the type of lesions mentioned in this series results in safe crossing of the aortic coarctation antegradely. This approach can potentially avoid the need for COA repair surgery, which has been associated with serious complications [ 3 , 4 ]. Similarly, complications can potentially arise in patients with an aneurysmal anatomy; indeed, Alcibar et al [ 5 ] reported that a patient in whom a radial-femoral approach was adopted died during the index procedure secondary to aneurysmal rupture into the esophagus post CoA stenting.…”
Endovascular stenting is a recognized treatment strategy for the treatment of coarctation of aorta (COA) in adults. The aortic coarctation is usually crossed retrogradely from the descending aorta via the femoral approach. We report three patients who had near-total descending aortic interruption and underwent successful stenting of severe COA using a combined radial/brachial and femoral approach due to difficulty in crossing the lesion retrogradely via a femoral approach. There were no procedural complications and no adverse events during 6 months of follow-up.
“…Using the radial/brachial approach in the type of lesions mentioned in this series results in safe crossing of the aortic coarctation antegradely. This approach can potentially avoid the need for COA repair surgery, which has been associated with serious complications [ 3 , 4 ]. Similarly, complications can potentially arise in patients with an aneurysmal anatomy; indeed, Alcibar et al [ 5 ] reported that a patient in whom a radial-femoral approach was adopted died during the index procedure secondary to aneurysmal rupture into the esophagus post CoA stenting.…”
Endovascular stenting is a recognized treatment strategy for the treatment of coarctation of aorta (COA) in adults. The aortic coarctation is usually crossed retrogradely from the descending aorta via the femoral approach. We report three patients who had near-total descending aortic interruption and underwent successful stenting of severe COA using a combined radial/brachial and femoral approach due to difficulty in crossing the lesion retrogradely via a femoral approach. There were no procedural complications and no adverse events during 6 months of follow-up.
Endovascular stenting of CoA results in a significant reduction in SBP at 6-12 weeks, which is sustained at 9-12 months, with similar outcomes in severe and non-severe CoA groups.
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