OBJECTIVES: The aim of the study was to assess the immediate and intermediate outcomes of stent therapy for coarctation or recoarctation of the aorta. SETTING: Tertiary referral centres. METHODS: A case review of all patients who have undergone stent implantation for coarctation of aorta in the Netherlands and Belgium. RESULTS: Stents were implanted in 33 patients (mean age 21±16 years) and successful outcome occurred acutely in 32 of these 33 patients. Peak systolic blood pressure decreased from 149±37 to 124±24 mmHg. The pressure gradient decreased from 37±16 to 7±7 mmHg. The diameter of the coarctation segment increased from 7.3±3.8 to 13.3±3.9 mm. Three patients had major complications and three had minor complications. During a mean follow-up of 21±17 months recoarctation was found in ten patients, seven of whom have undergone further procedures. There were no deaths at follow-up. CONCLUSIONS: Stent implantation is a good alternative to balloon dilation in selected patients with coarctation of the aorta. However, follow-up evaluation reveals a varying incidence of recoarctation and the long-term outcomes need to be determined.
OBJECTIVES: The aim of the study was to assess the immediate and intermediate outcomes of stent therapy for coarctation or recoarctation of the aorta. SETTING: Tertiary referral centres. METHODS: A case review of all patients who have undergone stent implantation for coarctation of aorta in the Netherlands and Belgium. RESULTS: Stents were implanted in 33 patients (mean age 21±16 years) and successful outcome occurred acutely in 32 of these 33 patients. Peak systolic blood pressure decreased from 149±37 to 124±24 mmHg. The pressure gradient decreased from 37±16 to 7±7 mmHg. The diameter of the coarctation segment increased from 7.3±3.8 to 13.3±3.9 mm. Three patients had major complications and three had minor complications. During a mean follow-up of 21±17 months recoarctation was found in ten patients, seven of whom have undergone further procedures. There were no deaths at follow-up. CONCLUSIONS: Stent implantation is a good alternative to balloon dilation in selected patients with coarctation of the aorta. However, follow-up evaluation reveals a varying incidence of recoarctation and the long-term outcomes need to be determined.
Authors: J Suárez de Lezo; M Pan; M Romero; A Medina; J Segura; M Lafuente; D Pavlovic; E Hernández; F Melián; J Espada Journal: Am J Cardiol Date: 1999-02-01 Impact factor: 2.778
Authors: D G Ray; R Subramanyan; T Titus; J Tharakan; J Joy; C G Venkitachalam; K G Balakrishnan Journal: Int J Cardiol Date: 1992-09 Impact factor: 4.164
Authors: R E Shaddy; M M Boucek; J E Sturtevant; H D Ruttenberg; R B Jaffe; L Y Tani; V E Judd; L G Veasy; E C McGough; G S Orsmond Journal: Circulation Date: 1993-03 Impact factor: 29.690
Authors: J Suárez de Lezo; M Pan; M Romero; A Medina; J Segura; D Pavlovic; C Martinez; I Tejero; J Perez Navero; F Torres Journal: Am Heart J Date: 1995-05 Impact factor: 4.749