Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: A multi-institutional study
dc.contributor.author | Forbes, Thomas J. | en_US |
dc.contributor.author | Garekar, Swati | en_US |
dc.contributor.author | Amin, Zahid | en_US |
dc.contributor.author | Zahn, Evan M. | en_US |
dc.contributor.author | Nykanen, David | en_US |
dc.contributor.author | Moore, Phillip | en_US |
dc.contributor.author | Qureshi, Shakeel A. | en_US |
dc.contributor.author | Cheatham, John P. | en_US |
dc.contributor.author | Ebeid, Makram R. | en_US |
dc.contributor.author | Hijazi, Ziyad M. | en_US |
dc.contributor.author | Sandhu, Satinder K. | en_US |
dc.contributor.author | Hagler, Donald J. | en_US |
dc.contributor.author | Sievert, Horst | en_US |
dc.contributor.author | Fagan, Thomas E. | en_US |
dc.contributor.author | Ringewald, Jeremy | en_US |
dc.contributor.author | Du, Wei | en_US |
dc.contributor.author | Tang, Liwen | en_US |
dc.contributor.author | Wax, David F. | en_US |
dc.contributor.author | Rhodes, John | en_US |
dc.contributor.author | Johnston, Troy A. | en_US |
dc.contributor.author | Jones, Thomas K. | en_US |
dc.contributor.author | Turner, Daniel R. | en_US |
dc.contributor.author | Pedra, Carlos A. C. | en_US |
dc.contributor.author | Hellenbrand, William E. | en_US |
dc.date.accessioned | 2007-09-20T19:11:28Z | |
dc.date.available | 2008-09-08T14:25:13Z | en_US |
dc.date.issued | 2007-08-01 | en_US |
dc.identifier.citation | Forbes, Thomas J.; Garekar, Swati; Amin, Zahid; Zahn, Evan M.; Nykanen, David; Moore, Phillip; Qureshi, Shakeel A.; Cheatham, John P.; Ebeid, Makram R.; Hijazi, Ziyad M.; Sandhu, Satinder; Hagler, Donald J.; Sievert, Horst; Fagan, Thomas E.; Ringewald, Jeremy; Du, Wei; Tang, Liwen; Wax, David F.; Rhodes, John; Johnston, Troy A.; Jones, Thomas K.; Turner, Daniel R.; Pedra, Carlos A.C.; Hellenbrand, William E. (2007)."Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: A multi-institutional study." Catheterization and Cardiovascular Interventions 70(2): 276-285. <http://hdl.handle.net/2027.42/56159> | en_US |
dc.identifier.issn | 1522-1946 | en_US |
dc.identifier.issn | 1522-726X | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/56159 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17630670&dopt=citation | en_US |
dc.description.abstract | Background: We report a multi-institutional experience with intravascular stenting (IS) for treatment of coarctation of the aorta. Methods and Results: Data was collected retrospectively by review of medical records from 17 institutions. The data was broken down to prior to 2002 and after 2002 for further analysis. A total of 565 procedures were performed with a median age of 15 years (mean = 18.1 years). Successful reduction in the post stent gradient (<20 mm Hg) or increase in post stent coarctation to descending aorta (DAo) ratio of >0.8 was achieved in 97.9% of procedures. There was significant improvement ( P < 0.01) in pre versus post stent coarctation dimensions (7.4 mm ± 3.0 mm vs. 14.3 ± 3.2mm), systolic gradient (31.6 mm Hg ± 16.0 mm Hg vs. 2.7 mm Hg ± 4.2 mm Hg) and ratio of the coarctation segment to the DAo (0.43 ± 0.17 vs. 0.85 ± 0.15). Acute complications were encountered in 81/565 (14.3%) procedures. There were two procedure related deaths. Aortic wall complications included: aneurysm formation ( n = 6), intimal tears ( n = 8), and dissections ( n = 9). The risk of aortic dissection increased significantly in patients over the age of 40 years. Technical complications included stent migration ( n = 28), and balloon rupture ( n = 13). Peripheral vascular complications included cerebral vascular accidents (CVA) ( n = 4), peripheral emboli ( n = 1), and significant access arterial injury ( n = 13). Older age was significantly associated with occurrence of CVAs. A significant decrease in the technical complication rate from 16.3% to 6.1% ( P < 0.001) was observed in procedures performed after January 2002. Conclusions: Stent placement for coarctation of aorta is an effective treatment option, though it remains a technically challenging procedure. Technical and aortic complications have decreased over the past 3 years due to, in part, improvement in balloon and stent design. Improvement in our ability to assess aortic wall compliance is essential prior to placement of ISs in older patients with coarctation of the aorta. © 2007 Wiley-Liss, Inc. | en_US |
dc.format.extent | 268801 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Cardiovascular Medicine | en_US |
dc.title | Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: A multi-institutional study | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationother | Children's Hospital of Michigan; Wayne State University; Detroit, Michigan ; Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201 | en_US |
dc.contributor.affiliationother | Children's Hospital of Michigan; Wayne State University; Detroit, Michigan | en_US |
dc.contributor.affiliationother | Children's Hospital of Omaha, University of Nebraska/Creighton University, Omaha, Nebraska | en_US |
dc.contributor.affiliationother | The Congenital Heart Institute at Miami Children's Hospital and Arnold Palmer Women and Children's Hospital, Miami, Florida | en_US |
dc.contributor.affiliationother | The Congenital Heart Institute at Miami Children's Hospital and Arnold Palmer Women and Children's Hospital, Miami, Florida | en_US |
dc.contributor.affiliationother | University of California at San Francisco, San Francisco, California | en_US |
dc.contributor.affiliationother | Guy's Hospital, London, England | en_US |
dc.contributor.affiliationother | Columbus Children's Hospital, Ohio State University, Columbus, Ohio | en_US |
dc.contributor.affiliationother | Children's Hospital of Mississippi; University of Mississippi/Jackson, Mississippi | en_US |
dc.contributor.affiliationother | University of Chicago, Chicago, Illinois | en_US |
dc.contributor.affiliationother | University of Chicago, Chicago, Illinois | en_US |
dc.contributor.affiliationother | Mayo Clinic, Rochester, Minnesota | en_US |
dc.contributor.affiliationother | Cardiovascular Center Bethanien, Frankfurt, Germany | en_US |
dc.contributor.affiliationother | Children's Hospital of Iowa, University of Iowa, Iowa City, Iowa | en_US |
dc.contributor.affiliationother | Medical University of South Carolina, Charleston, South Carolina | en_US |
dc.contributor.affiliationother | Children's Hospital of Michigan; Wayne State University; Detroit, Michigan | en_US |
dc.contributor.affiliationother | Children's Hospital of Michigan; Wayne State University; Detroit, Michigan | en_US |
dc.contributor.affiliationother | Children's Memorial Hospital, Northwestern University, Lincoln Park, Illinois | en_US |
dc.contributor.affiliationother | Duke Children's Heart Program, Duke University, Durham, North Carolina | en_US |
dc.contributor.affiliationother | Seattle Children's Hospital, University of Washington, Seattle, Washington | en_US |
dc.contributor.affiliationother | Seattle Children's Hospital, University of Washington, Seattle, Washington | en_US |
dc.contributor.affiliationother | Children's Hospital of Michigan; Wayne State University; Detroit, Michigan | en_US |
dc.contributor.affiliationother | Instituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, Brazil | en_US |
dc.contributor.affiliationother | Babies and Children's Hospital of New York, Columbia Presbyterian, New York, New York | en_US |
dc.identifier.pmid | 17630670 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/56159/1/21164_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/ccd.21164 | en_US |
dc.identifier.source | Catheterization and Cardiovascular Interventions | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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