Feasibility and efficacy of stent redilatation in aortic coarctation

Zanjani, Keyhan Sayadpour; Sabi, Titus Mbah; Moysich, Axel; Ovroutski, Stanislav; Peters, Bjoern; Miera, Oliver; Kühne, Titus; Nagdyman, Nicole; Berger, Felix; Ewert, Peter

doi:10.1002/ccd.21701

Cited by 32 publications

(24 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stent redilation was performed in these four patients. Apart from the clinically insignificant stent fracture, no major complication was observed with redilation in concordance with previous reports (9).…”

supporting

confidence: 92%

See 1 more Smart Citation

Endovascular stents for treatment of coarctation of the aorta

Yildirim¹,

Karagöz²,

Şahin³

et al. 2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

supporting

confidence: 92%

“…Restenosis is a known complication that may develop because of somatic growth of the patients, intimal hyperplasia, stent recoil or stent fracture. Intimal hyperplasia is thought to be the most common cause (9,10). Stent redilation was performed in these four patients.…”

mentioning

confidence: 99%

Endovascular stents for treatment of coarctation of the aorta

Yildirim¹,

Karagöz²,

Şahin³

et al. 2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

“…There is conflicting data on the effectiveness of re-dilatation. Some studies [116] indicate that much of the re-expansion was necessary simply to restore the original lumen size and other studies [108,113] suggest that re-dilation is feasible, safe, and successful. In the few patients who developed aneurysms, they were obliterated by coil placement [89].…”

Section: Follow-up Resultsmentioning

confidence: 99%

“…In the older child, adolescent and adult, primary stent therapy is advised both for native aortic coarctation and post-surgical recoarctation. Because of issues related to growth and the need for large sheaths for implantation, most cardiologists limit stent usage to adolescents and adults, although some workers [15,105,[111][112][113][114] advocate stents in infants and young children. We do not advocate routine use of stents in neonates, infants and young children [106,115].…”

Section: Indicationsmentioning

confidence: 99%

Transcatheter Stent Therapy in Children: An Update

Sahu

Rao²

2012

Pediat Therapeut

View full text Add to dashboard Cite

To address elastic recoil of vessel wall and intimal dissection that can follow balloon angioplasty, stents have been designed and these appear to produce more effective relief of obstruction. Of the two types of stents, namely, balloon expandable and self expandable, balloon expandable stents are most commonly used in children. The usefulness of stents in the management of vascular obstructive lesions not amenable to balloon angioplasty is well established and has been successfully used to treat branch pulmonary artery stenosis, coarctation of the aorta, stenotic right ventricular outflow tract conduits, obstructive lesions of the systemic and pulmonary veins and others. The techniques of implantation, indications, immediate and follow-up results and complications were reviewed. The stents have also been effectively used in keeping open naturally occurring or artificially created inter-circulatory connections and as adjuncts in hybrid procedures, but these have not been discussed in this review. Future directions include investigative work on biodegradable stents and growth stents to address issues related to increase in vessel size in infants and children, use of drug eluding stents to prevent neo-intimal proliferation to avoid pulmonary vein restenosis and refinement of stent technology in hybrid procedures such as neonatal palliation of hypoplastic left heart syndrome and transcatheter completion of Fontan procedure. The feasibility, safety and effectiveness stents in the pediatric population are demonstrated, although scrutiny of results of larger experience with longer follow-up is important.

show abstract

“…As Apostolopoulou et al 34 illustrated that stent placement might be the treatment of choice for recoarctation in older patients; but Zanjani et al 35 indicated that, when massive neointimal proliferation was present, stent insertion became impossible. The reason of failure of end-to-end anastomosis and balloon dilation was considered by Mannarino et al 31 the consequence of an irregular elastic fiber arrangements of the aortic wall associated with the elastin mutation.…”

Section: Coarctation Of the Aortamentioning

confidence: 99%

Congenital heart defects in Williams syndrome

Yuan¹

2017

Turk J Pediatr

View full text Add to dashboard Cite

Williams syndrome (WS), also known as Williams-Beuren syndrome, is a rare genetic disorder involving multiple systems including the circulatory system. However, the etiologies of the associated congenital heart defects in WS patients have not been sufficiently elucidated and represent therapeutic challenges. The typical congenital heart defects in WS were supravalvar aortic stenosis, pulmonary stenosis (both valvular and peripheral), aortic coarctation and mitral valvar prolapse. The atypical cardiovascular anomalies include tetralogy of Fallot, atrial septal defects, aortic and mitral valvular insufficiencies, bicuspid aortic valves, ventricular septal defects, total anomalous pulmonary venous return, double chambered right ventricle, Ebstein anomaly and arterial anomalies. Deletion of the elastin gene on chromosome 7q11.23 leads to deficiency or abnormal deposition of elastin during cardiovascular development, thereby leading to widespread cardiovascular abnormalities in WS. In this article, the distribution, treatment and surgical outcomes of typical and atypical cardiac defects in WS are discussed.

show abstract

Feasibility and efficacy of stent redilatation in aortic coarctation

Abstract: Stent redilation for aortic COA is a safe and successful procedure.

Cited by 32 publications

References 12 publications

Endovascular stents for treatment of coarctation of the aorta

Endovascular stents for treatment of coarctation of the aorta

Transcatheter Stent Therapy in Children: An Update

Congenital heart defects in Williams syndrome

Contact Info

Product

Resources

About