Transcatheter and endovascular stent graft management of coarctation-related pseudoaneurysms.
Heart
; 99(17): 1275-81, 2013 Sep.
Article
em En
| MEDLINE
| ID: mdl-23825097
ABSTRACT
OBJECTIVE:
Surgical correction of congenital aortic coarctation can lead to a number of important problems including late pseudoaneurysm formation. Redo surgery has a significant risk. Endovascular stent graft repair is increasingly used but there are limited data regarding this indication. We describe the experience of two UK congenital referral centres.DESIGN:
Retrospective analysis of patients treated with endovascular aortic stent grafting for late pseudoaneurysms.SETTING:
Two UK congenital heart centres, Bristol Heart Institute and Leeds General Infirmary. PATIENTS 17 patients were treated 2006-2012. This represents all patients treated with this technique. MAIN OUTCOMEMEASURES:
Procedural and postprocedure success and complications.RESULTS:
The average time from index repair to endovascular repair of pseudoaneurysm was 24.6 years. The majority (70.6%) had patch aortoplasty as the original surgical procedure and 41.2% were not under follow-up or discharged. Stent grafting procedural success rate was 100%. Median hospital stay postprocedure was 3 days. There was no procedural mortality or immediate complication. There were four minor early and three minor late complications. Imaging follow-up was available for an average of 31.6 months (range 6-65 months). All patients have demonstrated positive remodelling of the pseudoaneurysm with no incidence of continued expansion or stent graft failure up to 5 years following implant.CONCLUSIONS:
Endovascular stent graft treatment of pseudoaneurysms show promising results in a population who have a high risk of surgical re-intervention. Complication rates appear to be low and recovery is quick. Longer-term data remain essential to scrutinise stent graft performance in this situation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Coartação Aórtica
/
Stents
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Falso Aneurisma
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Implante de Prótese Vascular
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Procedimentos Endovasculares
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Heart
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Reino Unido