scholarly journals The immediate and late results for balloon angioplasty of native coarctation of aorta in pediatrics age group

2020 ◽  
Vol 16 (2) ◽  
pp. 16-20
Author(s):  
Maitham Qasim Mohammed ◽  
Husam Thaaban Al-Zuhairi ◽  
Ameer Adnan Muhsen ◽  
Sadiq M. Al Hamash
Keyword(s):  
Balloon Angioplasty ◽  
Balloon Dilation ◽  
Coarctation Of The Aorta ◽  
Late Result ◽  
Heart Catheterization ◽  
Coarctation Of Aorta ◽  
Transverse Arch ◽  
Associated Lesions ◽  
Percutaneous Balloon

Background: percutaneous balloon dilation of corotation of aorta is a less invasive and alternative to surgical repair for patients with discrete coaction of aorta and although the used of balloon angioplasty in patients with recurrent postoperative coarctation gained a wide consensus, the use this technique for native coarctation is still controversial in children less one years.  Objective: to evaluate the immediate and late result of balloon dilation of native coarctation of aorta in infant and children. Type of the study: A prospective study.  Subjects & Methods: The study was done on forty-five patients who were referred for cardiac catheterization and balloon angioplasty of native coarctation of the aorta at Ibn-AL-Bitar center for cardiac surgery between January 2015 to May 2016.Left heart catheterization was performed with evaluation of the morphology and pressure gradient across the stenotic segment of aorta. Follow up evaluations were done between 1 week and 18 months after discharge (mean 6 months) with transthoracic echocardiography.   Results: The age of patients range from 1month to 4 years (median age at time of procedure was12.3month).  Associated lesions in 11 patients (24.4%).  Immediate results were reduction in gradient from 42.5± 17.3 to 10.3± 8.2 mm Hg in forty-two patients (93.3%). Late result during follow up period, 29 patients (69%) had maintain gradient less than 20mmHg. Complications were reported in 6 patients (13.3%). there was one procedure related death (2.2%).    Conclusions: Balloon angioplasty for treatment of native coarctation of the aorta is effective with sustained benefit on long-term follow-up in infants and children >6 months. Transverse arch hypoplasia and children <6 months old has major effect on late outcome of recurrent coarctation of aorta.

scholarly journals Percutaneous balloon angioplasty for native coarctation of the aorta

1987 ◽  
Vol 10 (5) ◽  
pp. 1078-1084 ◽  
Author(s):  
Robert H. Beekman ◽  
Albert P. Rocchini ◽  
MacDonald Dick ◽  
A. Rebecca Snider ◽  
Dennis C. Crowley ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Coarctation Of The Aorta ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Angioplasty

Endovascular Surgery in Daily Practice: A Re-Appraisal

1994 ◽  
Vol 1 (1) ◽  
pp. 92-99 ◽  
Author(s):  
Frank J. Criado ◽  
Luis A. Queral ◽  
Peggy Patten
Keyword(s):  
Patient Selection ◽  
Balloon Angioplasty ◽  
Balloon Dilation ◽  
Surgical Techniques ◽  
Daily Practice ◽  
Endovascular Surgery ◽  
Endoluminal Therapy ◽  
Vascular Surgeon ◽  
Tools And Techniques

For more than 10 years, endoluminal therapy has been marked by an explosion in the number and variety of devices designed to enhance or supplant its first and still most commonly used technique, balloon angioplasty. Among all these innovative catheter-based technologies, only stents have emerged as a truly effective device capable of achieving results comparable or superior to balloon angioplasty. In combination with thrombolysis and balloon dilation, they form the triadic foundation of endovascular surgery today. The prudent and judicious use of these tools, and a few other “niche” devices, such as atherectomy, in conjunction with classical vascular surgical techniques is the special and unique purview of the vascular surgeon. His development of a therapeutic plan, whose components include patient selection, lesion assessment, device decisions, procedure monitoring, completion evaluation, and follow-up, is incumbent upon an appreciation of the capabilities of each available intraluminal device in the various arterial segments and lesion pathologies. The strategies that facilitate optimum matching of endoluminal tools and techniques to each patient situation form the basis of this report. They offer today's vascular surgeon a guide to the use of intraluminal therapies in daily practice. On the horizon is the new and exciting technique of endoluminal grafting, which, if it proves efficacious, will bring about profound changes in our specialty.

scholarly journals Aortos rekoarktacijos gydymas angioplastika ir stentais

2007 ◽  
Vol 5 (3) ◽  
pp. 0-0
Author(s):  
Lina Gumbienė ◽  
Sigitas Čibiras ◽  
Alicija Dranenkienė ◽  
Živilė Katliorienė ◽  
Giedrė Nogienė ◽  
...  
Keyword(s):  
Key Words ◽  
Balloon Angioplasty ◽  
Stent Implantation ◽  
Heart Surgery ◽  
Coarctation Of The Aorta ◽  
Endovascular Stent ◽  
Endovascular Stents ◽  
Vilnius University ◽  
Key Words Coarctation

Lina Gumbienė, Sigitas Čibiras, Alicija Dranenkienė, Živilė Katliorienė, Giedrė Nogienė, Eugenijus KosinskasVilniaus universiteto Širdies chirurgijos centras, Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Įvadas / tikslas Aprašomas naujo metodo – balioninės angioplastikos ir kraujagyslinių stentų – pritaikymas gydant aortos rekoarktaciją, atsiradusią po chirurginės ydos korekcijos. Ligoniai ir metodai Atlikta retrospektyvi duomenų analizė dešimties ligonių, kuriems Vilniaus universiteto Širdies chirurgijos centre 1994–2006 metais aortos rekoarktacija buvo gydyta balionine angioplastika ar stentavimu. Aprašoma centre taikyta aortos angioplastikos ir stentų implantavimo metodika. Rezultatai Aortos rekoarktacijos angioplastika atlikta keturiems ligoniams. Intraaortinis gradientas aortos koarktacijos vietoje po procedūros sumažėjo vidutiniškai 82,15%. Vėlyvuoju stebėjimo periodu (vid. 6,14 ± 5,2 metai) rekoarktacija buvo trims ligoniams. Aortos rekoarktacijos stentavimas atliktas septyniems ligoniams, vienam iš jų dėl atsinaujinusios rekoarktacijos po angioplastikos. Dviem ligoniams procedūra nepavyko. Kitiems penkiems ligoniams intraaortinis gradientas reAoCo vietoje vidutiniškai sumažėjo nuo 29,6 ± 11,6 mm Hg iki 2,6 ± 3,7 mm Hg. Stebėjimo laikotarpiu 0,58–3,75 metų po procedūros rekoarktacija nustatyta tik vienam ligoniui. Jam atliktas stento plėtimas. Išvada Perkateterinė balioninė angioplastika ir balionais išplečiami kraujagysliniai stentai veiksmingi ir saugūs aortos rekoarktacijų gydymo metodai. Pagrindiniai žodžiai: aortos koarktacija, rekoarktacija, perkateterinis gydymas Treatment of recurrent coarctation of the aorta employing balloon angioplasty and endovascular stents Lina Gumbienė, Sigitas Čibiras, Alicija Dranenkienė, Živilė Katliorienė, Giedrė Nogienė, Eugenijus KosinskasVilnius University, Centre of Heart Surgery, Santariškių g. 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Background / objective We present a new method of treatment – balloon angioplasty and endovascular stent – for patients with aortic re-coarctation following surgical correction. Patients and methods Ten patients with re-coarctation of the aorta after surgery underwent balloon angioplasty or stent implantation at Vilnius University Heart Surgery Centre in 1994–2006. Results Balloon angioplasty was performed in 4 patients. The intraaortic gradient in the site of coarctation decreased on average by 82.15% after the procedure. Re-coarctation developed in 3 patients in the late follow-up period (mean 6.14 ± 5.2 years). Stents were implanted in 7 patients (one developed re-coarctation after angioplasty). The procedure failed in two. The intraaortic gradient at the site of re-coarctation decreased on average from 29.6 ± 11.6 mm Hg to 2.6 ± 3.7 mm Hg. Re-coarctation was diagnosed only in one patient during the follow-up (0.58–3.75 years), and stent dilatation was performed in this case. Conclusions Balloon angioplasty and endovascular stents are effective and safe methods for the treatment of re-coarctation of the aorta. Key words: coarctation of the aorta, recurrent coarctation, transcatheter treatment

scholarly journals Late follow-up of balloon angioplasty in children with a native coarctation of the aorta

1994 ◽  
Vol 74 (7) ◽  
pp. 696-700 ◽  
Author(s):  
Alan M. Mendelsohn ◽  
Thomas R. Lloyd ◽  
Dennis C. Crowley ◽  
Satinder K. Sandhu ◽  
Keith C. Kocis ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Coarctation Of The Aorta

P-385 Balloon Angioplasty for Adults Coarctation of Aorta: A Six Months Follow-Up Study

2009 ◽  
Vol 4 ◽  
pp. S160-S161
Author(s):  
Iman Kashani ◽  
Mahmood Shabestari ◽  
Mahsa Fadavi ◽  
Farhad Jabbari ◽  
Leila Alizadeh ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Coarctation Of Aorta ◽  
Follow Up Study

Balloon dilation for aortic recoarctation: morphology at the site of dilation and long-term efficacy

2001 ◽  
Vol 11 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Christian Mann ◽  
Georg Goebel ◽  
Andreas Eicken ◽  
Thomas Genz ◽  
Walter Sebening ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Vessel Wall ◽  
Imaging Techniques ◽  
Balloon Dilation ◽  
Systolic Pressure ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Main Determinant

AbstractObjectives: We undertook this study to assess the immediate and long-term outcome of balloon angioplasty performed for recurrent or residual coarctation of the aorta, and to assess the changes in the vessel wall caused by this procedure.Methods: Clinical, echocardiographic, angiographic and hemodynamic data from 71 patients who underwent balloon angioplasty for recoarctation between January 1987 and January 1998 were analysed retrospectively.Results: Angioplasty was performed after a median of 82.6 months (range 1.4 mo – 20.9 y, mean 88.5 mo) following surgery for coarctation. Mean systolic pressure gradients were reduced from 27±15 mmHg to 11 ± 11 m m Hg after angioplasty (p< 0.0001). The mean diameter at the site of recoarctation increased from 5.5±2.5 to 7.5±2.7 mm(p< 0.0001). Outpouchings of contrast agents, indicating the disruption of the inner layers of the vessel wall, were defined as extravasations. They were observed in one-quarter of the angiograms performed immediately after the intervention. Immediate success of angioplasty was achieved in 71%, and persisted in 69% of patients during long-term follow up. The main determinant for immediate success was the age at the time of the procedure (p<0.05), while the main determinant for long-term success was the increase achieved in diameter. Extravasations did not progress to aneurysms, neither acutely nor during echocardiographic follow-up studies. For further follow-up, more sensitive imaging techniques will be necessary to delineate the morphology of the site of extravasation observed immediately after angioplasty.

Balloon angioplasty for adult coarctation of aorta: a 6-month follow-up study

2010 ◽  
Vol 11 (4) ◽  
pp. 271
Author(s):  
Hossein Mehdikhani Karimabad ◽  
Mahmood Shabestari ◽  
Farahzad Jabbari Azad ◽  
Leila Alizadeh
Keyword(s):  
Balloon Angioplasty ◽  
Coarctation Of Aorta ◽  
Follow Up Study ◽  
Adult Coarctation
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