Covered stents deployed for coarctation of aorta with aneurysm

Area of Science:

• Cardiology
• Interventional Radiology
• Vascular Surgery

Background:

• Aortic coarctation can lead to upper extremity hypertension.
• Associated aneurysms pose additional risks.

Purpose of the Study:

• To evaluate the efficacy of percutaneous stenting for aortic coarctation with aneurysmal dilation.
• To assess the impact on blood pressure gradients and aneurysm exclusion.

Main Methods:

• Three patients with aortic coarctation and hypertension underwent imaging (angiograms, CT).
• Percutaneous stenting of the coarctation segment was performed using cheathum-platinum covered stents.

Main Results:

• Successful stenting led to a significant reduction in pullback gradients.
• Aneurysms were successfully excluded post-procedure.

Conclusions:

• Percutaneous stenting is a viable treatment for aortic coarctation with aneurysms.
• This method effectively manages hypertension and excludes associated aneurysms.