Coarctation of the Aorta Treated with the Advanta V12 Large Diameter Stent: Acute Results
Catheterization and Cardiovascular Interventions
; 75: 402-406, 2010.
Article
in English
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1061894
Responsible library:
BR79.1
Localization: BR79.1
ABSTRACT
Objectives:
To report on the early results of treatment of coarctation of the aorta by dilation with a new polytetrafluoroethylene covered stent.Background:
Transcatheter dilationof aortic coarctation carries the risk of aneurysm or rupture. Covered stent implantation reduces this risk but requires a large delivery system. The Advanta V12 LD covered stent is premounted and requires a 911 Fr delivery system.Methods:
Coveredstents on balloons of a diameter sufficient to anchor the stent in the coarctation were implanted using the smallest available delivery system. Secondary dilation with largerdiameter balloons was performed until the pressure gradient was <20 mm Hg and the stent was opposed to the aortic wall.Results:
Twenty-five patients with aortic coarctation underwent stent implantation. Coarctation diameter increased from (6.3 6 3.5) mm to (14.4 6 2.3) mm (P < 0.0001). Peak pressure gradient decreased from (25.3 6 11.6) mm Hg to (2.5 6 3.0) mm Hg (P < 0.0001). The stent achieved the desired diameter in all cases. There were no complications. At short-term median follow-up of 4.9 months, all patients are alive and well with no evidence of recoarctation or aneurysm.Conclusions:
These initial results show that the covered Advanta V12LD stent is safeand effective in the immediate treatment of coarctation of the aorta through a lowprofile delivery system of 811 Fr. Long term follow up is required.
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Collection:
National databases
/
Brazil
Database:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Catheterization
/
Radiology, Interventional
/
Heart Defects, Congenital
Language:
English
Journal:
Catheterization and Cardiovascular Interventions
Year:
2010
Document type:
Article
Institution/Affiliation country:
Instituto Dante Pazzanese de Cardiologia/BR
/
Schneider Childrens Medical Center/IL