The comparison a 16-year follow-up results of balloon angioplasty for aortic coarctation in children of different age groups: a single-center experience

Abstract

Aort koarktasyonu tanısıyla balon anjiyoplasti uygulanan farklı yaş gruplarındaki çocukların 16 yıllık izlem sonuçlarının karşılaştırılması: Tek merkez deneyimiThe comparison a 16-year follow-up results of balloon angioplasty for aortic coarctation in children of different age groups: a single-center experience ABSTRACTObjective: Pediatric patients with different age groups who underwent balloon angioplasty for aortic coarctation were evaluated for recoarctation, aneurysm, peripheral arterial injuries and concomitant diseases. Methods: From January 1994 to 2010, 80 patients with aortic coarctation (native/recoarctation) were evaluated, retrospectively. According to age at angioplasty, patients were divided into three groups: Group A (0-3 months, n=29, 25 male/4 female, average weight 4±1.2 kg), Group B (3-12 months, n=20, 15 male/5 girls, average weight 6.5±1.9 kg) and Group C (> 1year, n= 31, 15 male/16 girls, average weight 22.8±16 kg). The patients were followed with echocardiography and clinical signs. The data of the native and recoarcted patients and also those in three different age groups were analyzed by using Chi-square, Kruskal-Wallis, and Student t tests. Results: Peak systolic pressure gradient was reduced from 42±17 mmHg to 6.2±6 mmHg after balloon angioplasty (p<0.001) [n=80, 56 (70%) native, 24 (30%) recoarctation]. There was no difference between groups for early success. None of them did require immediate surgery. There 336

Main Risk Factors for Mortality After Cardiovascular Interventions in Newborns with Critical Congenital Heart Diseases

“…It could be as high 3.7-7.7% and associated cardiac pathologies might increase mortality (12,13). Ergul et al (14) showed that isthmus hypoplasia and pulmonary hypertension were risk factors for AoC dilatation during neonatal period. The newborns, especially premature babies, undergoing balloon dilatation of AoC were at high risk for mortality (15).…”

Short- and midterm results of balloon angioplasty for the treatment of coarctation of the aorta in neonates

“…It is more frequent in boys, with a male/female ratio reported as being between 1:27 and 1:74. [6][7][8][9][10] It generally corresponds to the juxtaductal and discrete types, with long-segment and tortuous stenosis seen much less frequently. The transverse aortic arch and isthmus may be hypoplastic in the presence of a left ventricular outflow obstruction or left ventricular septal defect.…”

“…Balloon dilatation is proposed in these patients with palliative intent so as to buy time in the presence of a poor general physical condition, concomitant left ventricular dysfunction, and/or complex cardiac lesions when emergency surgical repair cannot be performed. [7] The problems related to balloon angioplasty in neonates and young infants are varied and include the residual pressure gradient in the presence of longsegment coarctation or isthmic hypoplasia and the development of recoarctation or aneurysms. These problems are more frequent after dilatation than surgical repair.…”

“…[6] Balloon angioplasty is applied as a treatment for buying time in babies who cannot undergo emergency surgery because of severe disease, left ventricular dysfunction, or associated complex cardiac abnormalities. [7] This report examines our clinical data on balloon angioplasty in neonates with aortic coarctation along with its shortand mid-term results.…”

A comparison of balloon angioplasty of native coarctation versus surgical repair for short segment coarctation associated with ventricular septal defect—a single-center retrospective review of 92 cases

“…We hypothesized that a hybrid technique can also be performed on carefully selected CoA and VSD patients to decrease the incidence of the complications noted above and to improve the prognosis. Considering the high possibility of recurrence of CoA with balloon angioplasty (9), patients with shortsegment (≤5 mm) CoA may be more suitable for balloon angioplasty. Therefore, in this study, we investigated the efficacy of combined balloon angioplasty and surgical repair for cases of short-segment CoA with VSD and compared outcomes with those of patients who received traditional surgical treatment.…”