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Endovascular approaches for complex forms of recurrent aortic coarctation
Ourania Preventza1, Grayson H Wheatley, James Williams
1Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute and Arizona Heart Hospital, Phoenix, Arizona, USA.
Summary
Endovascular repair is a safe and effective treatment for recurrent adult aortic coarctation. This approach offers a viable alternative to open surgery for complex cases, with promising outcomes.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Medicine
Background:
- Recurrent aortic coarctation presents complex challenges after initial repair.
- Adult patients with recurrent aortic coarctation often require advanced treatment strategies.
Purpose of the Study:
- To evaluate the single-center experience with endovascular treatment of recurrent aortic coarctation in adults.
- To assess the safety and efficacy of endovascular repair for complex recurrent aortic coarctation.
Main Methods:
- Retrospective review of 11 adult patients with recurrent aortic coarctation treated since 1998.
- Endovascular interventions included Palmaz stent implantation, endoluminal grafts, or a combination.
- Pre-procedural balloon angioplasty and carotid-subclavian bypass were performed in select cases.
Main Results:
- All endovascular repairs were technically and clinically successful.
- Median length of stay was 2.0 days.
- Two patients required reintervention for stent migration and endoleak, respectively.
Conclusions:
- Endovascular approaches are safe and effective for adult recurrent aortic coarctation.
- Endovascular repair is an excellent alternative to open surgery for complex recurrent cases.
- Further studies are needed to determine long-term outcomes.
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