Optimal imaging after coarctation stenting

Rosenthal, Éric; Bell, Aaron

doi:10.1136/hrt.2009.177378

Cited by 24 publications

(13 citation statements)

References 18 publications

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“…CT angiography is also used to assess concomitant coronary anomalies that may not be so well visualized with c MRI. Considerable variations in measurements between the two techniques have been reported in the same patient, highlighting the importance of using one specific modality in serial assessment [20]. The users of cv CT assessing repaired CoA, adhering to radiation safety principles, must minimize radiation dose, as a regulatory requirement for all programs [5].…”

Section: Clinical Presentation -Diagnosismentioning

confidence: 99%

Late Coarctation Presenters Suffer Chronic Hypertension Resisting to Medicine Treatment

Petropoulos

Moschovi

Khudiyeva³

et al. 2018

Journal of Clinic Sciences

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Coarctation of the aorta (CoA) is a common Congenital Heart Disease (CHD) presenting with many symptoms and signs, in any age group. From its dramatic appearance as a part of Hypo plastic Left Heart Syndrome (HLHS), to early Congestive Heart Failure(CHF)in neonatal and early infantile age, to undetected Hypertension (HTN) in early or even late adulthood. The aim of this short review is to present this unique CHD, underline the presentation of late detected CoA, presenting with HTN and its impact in treating resistant HTN even after successful surgical treatment. Finally, the late onset HTN, following successful surgical treatment and its medicine management will be addressed. This difficult to control on mono or dual pharmacotherapy and the late complications of persistent uncontrolled HTN is the basic reason that these patients are a long-life follow-up population with important medical needs and increasing morbidity and mortality. Abriviations

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Section: Clinical Presentation -Diagnosismentioning

confidence: 99%

Late Coarctation Presenters Suffer Chronic Hypertension Resisting to Medicine Treatment

Petropoulos

Moschovi

Khudiyeva³

et al. 2018

Journal of Clinic Sciences

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“…36 The first fatal case after endovascular treatment for CoA was reported in 1983 by Finley et al 49 after attempted BA in an infant. Subsequent experience supports an incidence of <1% after both BA and stent placement.…”

Section: Aortic Rupturementioning

confidence: 99%

“…34 Although MRI has historically been limited in patients with stents because of magnetic susceptibility and metallic stent artifact, with new sequences and MRI compatible stents it is becoming a feasible and attractive alternative in many patients. 35,36 In most patients with CoA stents, CT is considered the best method of surveillance for AWI and other stent-related complications. It has been suggested that CT should be performed 3 to 6 months after the procedure in the absence of significant procedural complications or clinical concerns, and then at least every 5 years.…”

mentioning

confidence: 99%

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

Tretter

Jones

McElhinney

2015

Circ: Cardiovascular Interventions

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Abstract-Aortic wall complications can occur in unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. This review summarizes the available literature and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on acute and follow-up AWI after endovascular treatment.There have been 23 reported cases of aortic rupture after endovascular treatment for CoA, including angioplasty alone, bare metal stenting, and primary covered stent therapy. Even if these published cases represent only a minority of ruptures that have actually occurred, the incidence is substantially <1%. The incidence of acute aneurysm formation was 0% to 13% after angioplasty, 0% to 5% after bare metal stent placement, and <1% after covered stent placement. The reported incidence and natural history of both acute and new AWI during follow-up after endovascular therapy for CoA varies considerably, likely secondary to ascertainment and reporting biases and inconsistent definitions. Although important AWI after endovascular treatment of CoA seems to be declining in frequency with increasing experience and improving technology, it remains one of the most important potential adverse outcomes. Long-term surveillance for new AWI and monitoring of existing AWI is mandatory, with institution of appropriate treatment when necessary. A central research focus in this population should be determination of the appropriate treatment for both native and recurrent CoA across various ages with regard to limiting recurrent CoA and preventing associated aortic wall complications, in addition to determining the appropriate treatment of various AWI. Consistent definitions and reporting are necessary to truly understand the incidence of, risk factors for, and measures protective against AWI after angioplasty or stent implantation for CoA. Contemporary Reviews in Interventional CardiologyA ortic wall complications can occur in both unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. In this review, we summarize the literature on and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on endovascular treatment. Before reviewing AWI related to balloon angioplasty (BA) and stent therapy, it is important to set the context by providing an overview of historical, anatomic, and physiological factors that may be related to aortic wall complications in CoA patients, as well as a brief discussion of AWI in patients with surgically repaired CoA.

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“…Postprocedural aneu-rysm was rare and stent fractures were not seen with the newer-generation stents. The optimal method of follow-up of these patients is unclear with both CTand MRI considered useful (60). A multicentre observational study from the USA reported data from 350 children with native coarctation >10 kg (61).…”

Section: Catheter Interventionmentioning

confidence: 99%