Balloon-expandable stent repair of severe coarctation of aorta

Lezo, José María Suárez de; Pan, Manuel; Romero, Miguel; Medina, Alfonso; Segura, José; Pavlovic, Djordje; Martínez, Carmen Alodia; Tejero, Ignacio; Navero, Juan Pérez; Torres, Francisco; Lafuente, Mercedes; Hernández, Enrique; Melián, Francisco; Concha, Manuel

doi:10.1016/0002-8703(95)90123-x

Cited by 153 publications

(64 citation statements)

References 19 publications

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“…In the first series of stents in 10 patients, Suarez de Lezo et al [15] showed that peak systolic pressure gradient decreased from 43+/-12 to 2+/-3 mmHg and the ratio of isthmus/descending aortic diameter improved from 0.65+/-0.14 to 1+/-0.08 following stent procedure. Similar results have been found in subsequent studies including those involving series with a larger number of patients than reported by Suarez de Lezo et al [89].…”

Section: Immediate Resultsmentioning

confidence: 99%

“…In addition, experimental work in animal models (75)(76)(77)(78)(79)(80)(81) has demonstrated feasibility and utility of stents in the management of coarctation. Consequently, stent therapy of coarctation has gained acceptance over the last two decades [15,50,.…”

Section: Coarctation Of the Aortamentioning

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%

“…Mullins, O'Laughlin et al [10,11] introduced endovascular stents into pediatric practice. Stents were used to treat obstructions in pulmonary arteries, systemic and pulmonary veins, aorta and right ventricular outflow tract (RVOT) conduits [12][13][14][15][16][17][18]. They were also utilized to maintain patency of ductus arteriosus in pulmonary atresia and hypoplastic left heart syndrome [19][20][21], stenosed aortopulmonary collaterals [22,23] and surgically created but obstructed shunts [23,24].…”

Section: Introductionmentioning

confidence: 99%

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Transcatheter Stent Therapy in Children: An Update

Sahu

Rao²

2012

Pediat Therapeut

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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.

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Section: Immediate Resultsmentioning

confidence: 99%

Section: Coarctation Of the Aortamentioning

confidence: 99%

Section: Indicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transcatheter Stent Therapy in Children: An Update

Sahu

Rao²

2012

Pediat Therapeut

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“…With increasing experience and the advent of covered stents, stent implantation has gradually become the treatment of choice for recurrent coarctation, coarctation with patent ductus arteriosus, coarctation and aneurysm (1)(2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%