Academic Journal
Implantation of stents for postsurgical recoarctation of the aorta in adolescents and adults ; Implantacja stentów w poszerzaniu pooperacyjnej rekoarktacji aorty u osób dorosłych i nastolatków
| العنوان: | Implantation of stents for postsurgical recoarctation of the aorta in adolescents and adults ; Implantacja stentów w poszerzaniu pooperacyjnej rekoarktacji aorty u osób dorosłych i nastolatków |
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| المؤلفون: | Sulik-Gajda, Sylwia, Fiszer, Roland, Białkowski, Jacek, Chodór, Beata, Pawlak, Szymon, Szkutnik, Małgorzata |
| المصدر: | Polish Heart Journal (Kardiologia Polska); Vol 75, No 10 (2017); 983-989 |
| بيانات النشر: | Polish Cardiac Society |
| سنة النشر: | 2017 |
| المجموعة: | Via Medica Journals |
| مصطلحات موضوعية: | coarctation of aorta, recoarctation, stenting, koarktacja aorty, rekoarktacja, stenty |
| الوصف: | Background: Results of stent implantation (SI) of postsurgical recoarctation of the aorta (ReCoA) are not frequently published. Aim: This study sought to retrospectively evaluate results of SI in ReCoA in older children and adults. Methods: Twenty-eight SIs were performed on 26 ReCoA patients with a median age of 23 (10–65) years. Dependent upon availability, the following stents were applied: Palmaz, Cheatham Platinum (CP), Andrastents XL/XXL (AS), Covered CP (CVCP) stents, and self-expanding stents (Smart). Generally, high-pressure balloons were applied to dilate stents. Results: The procedure was effective in 20/26 patients (77.7%). The mean peak systolic gradient reduced from 40.5 ± 18.7 mm Hg to 13.1 ± 12.1 mm Hg (p < 0.05), and the diameter of the stenosed segment increased from 7.5 ± 3.02 mm to 13.1 ± 3.32 mm (p < 0.05). In six cases (including a patient treated with a Smart stent) transaortic pressure gradient after SI remained > 20 mm Hg (stiff postsurgical lesion). For one patient (40-year-old male), an acute dissection of the aorta occurred during balloon predilatation. Immediate CVCP implantation resolved this problem. Two more CVCPs were used — one to close a small aortic aneurysm that appeared five years after a Palmaz SI and another to stabilise a broken CP bare metal stent. There were no deaths or aortic dissections during follow-up, and most patients were able to reduce or suspend their medication for systemic hypertension. Conclusions: Endovascular stenting of ReCoA in adults and adolescents appears to be an acceptable method of treatment in experienced hands. However, for some patients the presence of a stiff lesion can provoke suboptimal results. Considering the serious complications that can occur after SI, all patients should have regular follow-up (including an imaging study). Covered stents should always be available in the cathlab as a rescue device when implanting stents in coarctation of the aorta patients. ; Wstęp: Wyniki implantacji stentów w pooperacyjnej rekoarktacji aorty ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://journals.viamedica.pl/polish_heart_journal/article/view/KP.a2017.0114 |
| DOI: | 10.5603/KP.a2017.0114 |
| الاتاحة: | https://journals.viamedica.pl/polish_heart_journal/article/view/KP.a2017.0114 https://doi.org/10.5603/KP.a2017.0114 |
| Rights: | Przesyłając manuskrypt wraz z ilustracjami i tabelami, automatycznie i nieodpłatnie przenosi (przenoszą) na Polskie Towarzystwo Kardiologiczne wszelkie prawa autorskie do wydawania oraz rozpowszechniania nadesłanych materiałów we wszystkich znanych formach i na wszystkich znanych polach eksploatacji, bez ograniczeń terytorialnych językowych pod warunkiem, że materiały te zostaną zaakceptowane do publikacji. ; The copyright to the submitted manuscript is held by the Author, who grants the Polish Cardiac Society a nonexclusive licence to use, reproduce, and distribute the work, including for commercial purposes. Polish Heart Journal (Kardiologia Polska) is an open access journal that applies the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (CC BY-NC-ND 4.0), allowing third parties to download articles and share them with others, provided the original work is properly cited, not changed in any way, distributed under the same licence, and used for non-commercial purposes only. For commercial use, please contact the journal office: polishheartjournal@ptkardio.pl. If submitted work has been funded by institutional grant, the applicant may optionally choose to release the work under Creative Commons licence: attribution (CC BY) to meet the requirements of funding party, if applicable. Licence Terms can be downloaded here. |
| رقم الانضمام: | edsbas.91F4AAF0 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5603/KP.a2017.0114 |
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