Evaluating the Effectiveness of Stenting for Aortic Coarctation
Abstract: Background Coarctation of the aorta (CoA) is a congenital cardiovascular malformation involving narrowing of the thoracic aorta just distal to the left subclavian artery. The aim of our study was to evaluate the hemodynamic effects of endovascular treatment for CoA by using invasive aortic catheterization. Methods All patients with CoA who underwent treatment by aortic stent implantation between September 1, 2003, and February 1, 2019, at the “Onassis Cardiac Surgery Center,” in Athens, Greece, were evaluated. Patients were treated with either bare (uncovered) Cheatham-Platinum (bCP) or covered Cheatham-Platinum (cCP) stent implantations. Invasive aortic pressure measurements were recorded before and after the endovascular intervention. Results A total of 48, eight zig CP stents, comprising 24 bCP and 24 cCP stents were implanted in 47 patients. The mean aortic diameter (mm) at the CoA lesion increased from 9.7 ± 3.3 to 19.2 ± 2.9 mm (p <0.01) after the endovascular procedure. The invasive mean blood pressure (BP; mm Hg) from catheterization in the descending aorta increased (before = 114.2 ± 12.8 vs. after = 135.5 ± 28.1; p <0.01), while the invasive mean BP (mm Hg) from catheterization in the ascending aorta was decreased (before = 156.8 ± 25.0 vs. after = 138.4 ± 27.5; p <0.01) after the intervention. The mean aortic BP gradient decreased in both types of stents after intervention (BP gradient among patients with cCP stents = 30.9 +/− 23.6 mmHg and BP gradient among patients with bCP stents = 38.0 +/−23.1 mmHg). However, there was no statistically significant difference between the two types of stents; p = 0.36. Conclusions Invasive aortic catheterization provided evidence that endovascular stenting with either bare or covered stents is efficient in treating patients with CoA.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Evaluating the Effectiveness of Stenting for Aortic Coarctation ; volume:10 ; number:05 ; year:2022 ; pages:235-241
AORTA ; 10, Heft 05 (2022), 235-241
- Contributor
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Contrafouris, Constantinos
Antonopoulos, Constantine N.
Rammos, Spyridon
Kanakis, Meletios
Petsios, Konstantinos
Kakisis, John D.
Geroulakos, George
- DOI
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10.1055/s-0042-1750097
- URN
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urn:nbn:de:101:1-2023020211435928445399
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:20 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Contrafouris, Constantinos
- Antonopoulos, Constantine N.
- Rammos, Spyridon
- Kanakis, Meletios
- Petsios, Konstantinos
- Kakisis, John D.
- Geroulakos, George
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Aortic wall abnormalities in patients with aortic coarctation
Effectiveness of Repair of Aortic Coarctation in Neonates: A Long-Term experience
Aortic coarctation: guidelines mismatch across the ocean
Incidence of Arterial Hypertension & Re-coarctation long-term after Stent Therapy of the Aortic Coarctation
Cinematic Rendering of Persistent Fifth Aortic Arch with Aortic Coarctation and Bicuspid Aortic Valve
Axillary artery access for stenting of aortic coarctation in a 1.2 kg premature newborn with malignant systemic hypertension: a case report
Two stage hybrid approach for complex aortic coarctation repair
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Aortic Coarctation
Two decades of aortic coarctation treatment in children; evaluating techniques
Avoidable costs of stenting for aortic coarctation in the United Kingdom: an economic model
Safety and efficacy of stenting for aortic arch hypoplasia in patients with coarctation of the aorta
Aortic wall abnormalities in patients with aortic coarctation
Effectiveness of Repair of Aortic Coarctation in Neonates: A Long-Term experience
Aortic coarctation: guidelines mismatch across the ocean
Incidence of Arterial Hypertension & Re-coarctation long-term after Stent Therapy of the Aortic Coarctation
Cinematic Rendering of Persistent Fifth Aortic Arch with Aortic Coarctation and Bicuspid Aortic Valve
Axillary artery access for stenting of aortic coarctation in a 1.2 kg premature newborn with malignant systemic hypertension: a case report
Two stage hybrid approach for complex aortic coarctation repair
A Pregnant Patient with Native Aortic Coarctation and Aneurysm
Aortic Coarctation
Two decades of aortic coarctation treatment in children; evaluating techniques
Avoidable costs of stenting for aortic coarctation in the United Kingdom: an economic model
Safety and efficacy of stenting for aortic arch hypoplasia in patients with coarctation of the aorta
Aortic wall abnormalities in patients with aortic coarctation
Effectiveness of Repair of Aortic Coarctation in Neonates: A Long-Term experience
Aortic coarctation: guidelines mismatch across the ocean
Incidence of Arterial Hypertension & Re-coarctation long-term after Stent Therapy of the Aortic Coarctation
Cinematic Rendering of Persistent Fifth Aortic Arch with Aortic Coarctation and Bicuspid Aortic Valve
Axillary artery access for stenting of aortic coarctation in a 1.2 kg premature newborn with malignant systemic hypertension: a case report
Two stage hybrid approach for complex aortic coarctation repair