Long-term outcome (up to 15 years) of balloon angioplasty of discrete native coarctation of the aorta in adolescents and adults

Fawzy, Mohamed; Awad, Mahmoud; Hassan, Walid; Kadhi, Yusuf Al; Shoukri, Mohamed; Fadley, Fadel Al

doi:10.1016/j.jacc.2003.10.040

Cited by 108 publications

(38 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They concluded that results in young adults are similar to those observed in children; balloon angioplasty should be considered as an option to surgical intervention; and follow-up studies (longer than 1 year) are required. Other reports followed [22][23][24][25][26][27][28][29][30][31][32][33], which are tabulated in Table 1. Based on the review of these publications, the conclusion drawn by Attia and Lababidi [21] are appropriate but, aortic perforation and dissection during the procedure and aneurismal formation at follow-up are also seen in adults.…”

Section: Results In Adult Patientsmentioning

confidence: 99%

Coarctation of the aorta

Rao¹

2005

Curr Cardiol Rep

123

View full text Add to dashboard Cite

Coarctation of the aorta is an important, treatable cause of secondary hypertension. Its prevalence varies from 5% to 8% of all congenital heart defects. This condition is most often detected because of a murmur or hypertension found on routine examination. Delayed or absent femoral pulses and an arm/leg systolic blood pressure difference of 20 mm Hg or more in favor of the arms may be considered as evidence for aortic coarctation. The coarctation may be demonstrated on a suprasternal notch two-dimensional echocardiographic view along with increased Doppler flow velocities across the coarctation site. Cardiac catheterization reveals significant systolic pressure gradient (> 20 mm Hg) across the coarctation and angiography demonstrates the degree and type of aortic narrowing. Aortic obstruction may be relieved by surgery or by transcatheter techniques; the latter include balloon angioplasty and stent implantation. In the past, surgery has been used exclusively, but because of morbidity and complications associated with surgery, catheter techniques are increasingly used in the management of aortic coarctation. Balloon angioplasty in children and stents in adolescents and adults are becoming initial therapeutic options for management of coarctation. Studies evaluating long-term follow-up results of the interventional techniques are needed.

show abstract

Section: Results In Adult Patientsmentioning

confidence: 99%

Coarctation of the aorta

Rao¹

2005

Curr Cardiol Rep

123

View full text Add to dashboard Cite

show abstract

“…In the last 10 years, there has been an explosion of reports of endovascular stenting and/or angioplasty of native coarctation in the adult (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). Most of these reports cite good angiographic results and a decrease in the transcoarctation pressure gradient but have very short follow-up and do not discuss the most clinically relevant factor: cure of hypertension.…”

mentioning

confidence: 99%

The Results of Catheter-Based Therapy Compared With Surgical Repair of Adult Aortic Coarctation

Carr

2006

Journal of the American College of Cardiology

148

106

View full text Add to dashboard Cite

A review was performed to compare the results of endovascular therapy (stenting and angioplasty) with surgical techniques to repair adult aortic coarctation. The immediate improvement in hypertension and the morbidity were similar across all groups. Surgical therapy was associated with a very low risk of restenosis and recurrence, whereas endovascular therapy had a much higher incidence of restenosis and the need for repeat interventions. The long-term outcome of endovascular approaches will need to be assessed in the future.

show abstract

“…Another study which done in Riyadh Saudi Arabia, concluded that the doppler COA gradient across the COA site decreased from 57.6 ± 17.7 mmHg to 16.6 ± 8.4 mmHg one year after angioplasty [34].…”

Section: Discussionmentioning

confidence: 98%

Long-Term Results of Balloon Angioplasty for Native Coarctation of the Aorta in the Surgical Specialty Teaching Hospital/Cardiac Center/Hawler

Ahmed¹,

Mahmood²

2016

OJPed

View full text Add to dashboard Cite

Background: Coarctation of aorta is a common congenital cardiac malformation; controversy has surrounded the use of balloon angioplasty for native coarctation of aorta as the primary treatment for patients with various ages with coarctation. Aim: This study aimed to assess the long term outcome of balloon angioplasty especially concerning aneurysm formation. Patients and Methods: A case series (case followup) study was carried out on a total of 50 patients (31 male and 19 female) with native coarctation of aorta aged 1 -21 years of age who were treated with balloon angioplasty for more than 1 year at the time of follow up evaluation in surgical specialty hospital/cardiac center in Erbil Iraq. They were recalled and subjected to detail clinical examination, body weight, height, blood pressure measurements. Radiographic, Echo Doppler data, CT angiography were obtained. CT angiography was done for 34 patients. Full echocardiographic evaluation was done in follow up visits. Results: There was a significant reduction in the peak instantaneous pressure gradient across the coarctated area by Doppler echocardiogram gradient before balloon angioplasty and at the follow up visit from 56.92 ± 14.6 mmHg to 30.68 ± 16.89, P = 0.00. Six cases of total 50 patients had evidence of diastolic runoff pattern by Doppler Echcardiogram. While the only 6 of total 34 cases had the report of CT angiography that documented aneurysm formation (12%). Conclusions: Balloon angioplasty of native aortic coarctation can be performed safely and effectively with good immediate outcome. Furthermore, it offers satisfactory long-term results with low incidence of persisting restenosis, hypertension and aneurysm formation.

show abstract

Long-term outcome (up to 15 years) of balloon angioplasty of discrete native coarctation of the aorta in adolescents and adults

Abstract: Long-term results of BA for discrete AC are excellent and should be considered as first option for treatment of this disease.

Cited by 108 publications

References 35 publications

Coarctation of the aorta

Coarctation of the aorta

The Results of Catheter-Based Therapy Compared With Surgical Repair of Adult Aortic Coarctation

Long-Term Results of Balloon Angioplasty for Native Coarctation of the Aorta in the Surgical Specialty Teaching Hospital/Cardiac Center/Hawler

Contact Info

Product

Resources

About