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Endovascular management of coarctation of the aorta

D R Turner1, P A Gaines

  • 1Sheffield Vascular Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Sheffield, United Kingdom.

Seminars in Interventional Radiology
|February 18, 2011
PubMed

Insights

Untreated thoracic aortic coarctation is fatal due to hypertension. Surgical and endovascular treatments, including angioplasty and stenting, improve survival and manage hypertension, especially in adults.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Pediatric Cardiology

Background:

  • Thoracic aortic coarctation (CoA) untreated leads to premature death from hypertension and related cardiovascular issues.
  • Surgical repair for CoA has existed for over 50 years, improving hypertension and survival rates.
  • Endovascular techniques provide a less invasive option compared to traditional open repair.

Purpose of the Study:

  • To evaluate the role of endovascular techniques in managing thoracic aortic coarctation.
  • To compare the effectiveness of angioplasty and stenting with traditional surgical repair.
  • To assess the impact of these treatments on hypertension and survival in patients with CoA.

Main Methods:

  • Review of early and intermediate outcomes of angioplasty and stenting for aortic coarctation.
  • Comparison of results between endovascular repair and historical surgical data.
  • Analysis of patient cohorts, focusing on adults and older children.

Main Results:

  • Endovascular techniques, including angioplasty and stenting, show promising early and intermediate results.
  • These minimally invasive methods offer an alternative to open repair for aortic coarctation.
  • The management of hypertension and survival rates are positively impacted by these interventions.

Conclusions:

  • Angioplasty and stenting are emerging as significant treatment options for thoracic aortic coarctation.
  • Endovascular repair plays a crucial role in managing CoA, particularly in adult and pediatric populations.
  • These techniques contribute to improved hypertension control and long-term survival for patients with aortic coarctation.

Keywords:
Coarctationangioplastyendovascularstenting

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