Balloon coarctation angioplasty: follow-up of 103 patients.
J Invasive Cardiol
; 12(8): 402-6, 2000 Aug.
Article
in En
| MEDLINE
| ID: mdl-10953103
ABSTRACT
OBJECTIVE:
To evaluate the role of balloon coarctation angioplasty (BCA) in the management of patients with native coarctation of the aorta.BACKGROUND:
BCA has emerged as an alternative to surgery for patients with native coarctation of the aorta. However, its role remains controversial.METHODS:
Over a 7-year period, 103 patients undergoing BCA were enrolled in the study. Hemodynamic evaluation was obtained at baseline and immediately following BCA; 75% of patients returned for follow-up evaluation at 26 +/- 20 months.RESULTS:
The systolic gradient across the coarcted segment decreased from 59 +/- 18 mmHg to 10 +/- 11 mmHg following BCA (p < 0.001). The procedure was successful in 82% of patients, and partial improvement was obtained in 17%. Repeat intervention was performed in 13% of the follow-up group. Surgical intervention was needed in 8 patients.CONCLUSION:
Balloon angioplasty is an effective first-line intervention in patients with native coarctation of the aorta.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortic Coarctation
/
Angioplasty, Balloon
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
Language:
En
Journal:
J Invasive Cardiol
Journal subject:
CARDIOLOGIA
Year:
2000
Document type:
Article
Affiliation country: