Comparison of surgical repair and percutaneous stent implantation for native coarctation of the aorta in patients ≥15years of age

Yeaw, X.; Wijesekera, V.; Sedgwick, J.; Whight, Christopher M.; Pohlner, Peter; Raffel, Corey; Walters, D.

doi:10.1016/j.ijcard.2015.11.052

Cited by 7 publications

(3 citation statements)

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“…According to previous data, stent implantation is similarly as effective as surgical repair with respect to acute and intermediate-term follow-up outcomes. 11) In our study, stent implantation showed good efficacy with an acceptable midterm outcome in all patients, except for 1 patient with abdominal aorta stenosis who was suspicion of Takayasu's arteritis, and underwent balloon angioplasty for restenosis 14 months after stent implantation. In a recent report, self-expandable stents demonstrated good results for native and recurrent CoA.…”

Section: Discussionsupporting

confidence: 51%

The outcome of percutaneous stent implantation in congenital heart disease: experience of a single institute

et al. 2018

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PurposeThe efficacy of percutaneous stent implantation for congenital heart disease (CHD) in Korea, where stent availability is limited, has not been determined. This study evaluated the acute and midterm results of stent implantation in different CHD subgroups.MethodsStents were implanted in 75 patients with 81 lesions: (1) pulmonary artery stenosis (PAS) group, 56 lesions in 51 patients; (2) coarctation of the aorta (CoA) group, 5 lesions in 5 patients; (3) Fontan group, 13 lesions in 12 patients; (4) ductal stent group, 3 lesions in 3 patients; and (5) other CHD group, 4 lesions in 4 patients. Mean follow-up duration was 2.1 years (0.1–4 years). Medical records were reviewed retrospectively.ResultsThe minimum lumen diameter (MLD) in PAS and CoA increased from 5.0±1.9 mm and 8.4±1.6 mm to 10.1±3.6 mm and 12.3±2.5 mm, respectively (P<0.01). In the PAS group, pressure gradient decreased from 25.7±15.6 mmHg to 10.4±10.1 mmHg, and right ventricular to aortic pressure ratio from 0.56±0.21 to 0.46±0.19. In the CoA group, the pressure gradient decreased from 50±33 mmHg to 17±8 mmHg. In the ductal stent group, the MLD of the ductus increased from 2.3 mm to 4.3 mm and arterial oxygen saturation from 40%–70% to 90%. No deaths were associated with stent implantation. Stent migration occurred in 3 patients, but repositioning was successful in all. Stent redilation was performed successfully in 26 cases after 29±12 months.ConclusionPercutaneous stent implantation was safe and effective, with acceptable short and mid-term outcomes in Korean CHD patients.

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Section: Discussionsupporting

confidence: 51%

The outcome of percutaneous stent implantation in congenital heart disease: experience of a single institute

et al. 2018

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“…Surgery is accepted as an effective and preferred treatment in neonates and infants with coarctation of the aorta (COA) ( 71 , 72 ). However, in older children or adults, surgical morbidity is more frequent and may be detrimental ( 73 , 74 ). BA has become an alternative treatment to surgery since 1983 ( 75 , 76 ).…”

Section: Treatment Of Coarctation Of the Aortamentioning

confidence: 99%

“…Stent technology has evolved rapidly over the past two decades. Stent implantation is associated with effective outcomes in older children or adults with native or recurrent coarctation compared with surgery ( 74 , 80 – 82 ). With open-cell stent design, complex coarctations can be treated safely without sacrificing the head and neck branches.…”

Section: Treatment Of Coarctation Of the Aortamentioning

confidence: 99%