Transcatheter therapy of long extreme subatretic aortic coarctations with covered stents. A logical solution for an extreme situation: The stress of pressure and fatigue—A problem for the cardiologist or for the stent?

Wilson, Neil

doi:10.1002/ccd.20146

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Covered stents have been used successfully in the management of aortic coarctation and a number of reports document this experience [117][118][119][120][121][122][123][124][125][126][127][128][129][130][131][132][133][134][135][136] A variety of covered stents have been utilized and these include Jostent grafts (Jomed International, Helsingborg, Sweden), Cheatham-Platinum stents (NuMed Inc, Hopkinton, NY), AneuRx (Medtronic, Watford, UK), Advanta V12 (Atrium Medical, Hudson, NH) and others. While these stents are available outside the United States, they are not approved by the US Food and Drug Administration (FDA) for clinical use.…”

Section: Covered Stentsmentioning

confidence: 99%

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: Covered Stentsmentioning

confidence: 99%

Transcatheter Stent Therapy in Children: An Update

Sahu

Rao²

2012

Pediat Therapeut

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“…Additional indications for covered stent placement include adult patients with a localised or long-segment native aortic coarctation, aortic recoarctation after previous treatment, aneurysms that have previously undergone surgical or interventional treatment, and patients with coarctation associated with a patent arterial duct 20-23). Furthermore, in patients with a long affected segment or a near atretic coarctation, covered stents can be implanted safely with good results 24)25).…”

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confidence: 99%

Use of Covered Stents to Treat Coarctation of the Aorta

Qureshi

2009

Korean Circ J

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Transcatheter treatments for coarctation of the aorta include balloon angioplasty and stent implantation. However, balloon angioplasty has its limitations and may be associated with complications, such as, recoarctation, dissection, and aneurysm formation, in adult patients. Bare metal stent implantation has offered an alternative during the last decade or so, but covered stents have been used with increasing frequency more recently, to the extent that covered stent implantation is the preferred treatment in correctly selected patients. Primary stent insertion, whether bare metal or covered, prevents elastic recoil of the aorta and may provide better and more predictable results than balloon angioplasty. Furthermore, stents are preferable for the treatment of complex aortic arch obstructions, but their usage is limited to older patients, because of limitations associated with growth.

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Transcatheter therapy of long extreme subatretic aortic coarctations with covered stents. A logical solution for an extreme situation: The stress of pressure and fatigue—A problem for the cardiologist or for the stent?

Cited by 2 publications

References 8 publications

Transcatheter Stent Therapy in Children: An Update

Transcatheter Stent Therapy in Children: An Update

Use of Covered Stents to Treat Coarctation of the Aorta

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