Intermediate follow‐up following intravascular stenting for treatment of coarctation of the aorta

• DOI: 10.1002/ccd.21191
• Publication Date: 2007-09-25T19:43:15Z
• Authors: Thomas J. Forbes; Phillip Moore; Carlos A.C. Pedra; Evan M. Zahn; David Nykanen; Zahid Amin; Swati Garekar; David Teitel; Shakeel A. Qureshi; John P. Cheatham; Makram R. Ebeid; Ziyad M. Hijazi; Satinder Sandhu; Donald J. Hagler; Horst Sievert; Thomas E. Fagan; Jeremy Ringwald; Wei Du; Liwen Tang; David F. Wax; John Rhodes; Troy A. Johnston; Thomas K. Jones; Daniel R. Turner; Robert Pass; Alejandro Torres; William E. Hellen...
• Keywords: Intravascular Ultrasound

We report a multiinstitutional study on intermediate-term outcome of intravascular stenting for treatment coarctation the aorta using integrated arch imaging (IAI) techniques.Medical records 578 patients from 17 institutions were reviewed. A total 588 procedures performed between May 1989 and Aug 2005. About 27% (160/588) followed up by further IAI their (MRI/CT/repeat cardiac catheterization) after initial stent procedures. Abnormal studies included: presence dissection or aneurysm formation, fracture, reobstruction within (instent restenosis significant intimal build-up stent). Forty-one abnormal reported in intermediate follow-up at median 12 months (0.5-92 months). Smaller postintervention (CoA) diameter an increased persistent systolic pressure gradient associated with encountering studies. Aortic wall abnormalities included dissections (n = 5) 13). The risk aortic larger percent increase CoA poststent implant, increasing balloon/coarc ratio, performing prestent angioplasty. Stent was observed 5/6 parts fracture neointimal buildup 16). Small implant residual likelihood instent follow-up.Abnormalities following IS placement native recurrent aorta. Not exceeding balloon:coarctation ratio 3.5 avoidance angioplasty decreased undergoing recommend all CoA.