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Percutaneous reintervention on aortic coarctation stenting

Manuel Pan1, Soledad Ojeda, Francisco Hidalgo

  • 1Department of Cardiology, Reina Sofía Hospital, University of Córdoba (IMIBIC), Córdoba, Spain.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|March 27, 2019
PubMed

Insights

Percutaneous reintervention is effective for treating aortic coarctation stented in childhood. Stent re-treatment in pediatric patients with aortic coarctation successfully manages growth-related issues.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Interventional Cardiology

Background:

  • Aortic coarctation stenting in early childhood can necessitate reintervention due to somatic growth.
  • Long-term outcomes of reintervention for pediatric aortic coarctation stenting require further evaluation.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous reintervention in patients who underwent aortic coarctation stenting at a young age.
  • To assess the outcomes of balloon re-expansion versus re-stenting in pediatric aortic coarctation.

Main Methods:

  • Retrospective analysis of 177 patients with aortic coarctation treated with stent implantation (1993-2018).
  • Focus on 33 patients treated before age 12 requiring reintervention.
  • Reintervention involved balloon angioplasty or re-stenting.

Main Results:

  • Successful reintervention in 91% of patients (30/33).
  • Significant reduction in aortic gradient (22±10 to 6±6 mmHg) and increase in lumen diameter (9±6 to 15±3 mm).
  • Minor complications included femoral artery occlusion (8) and bleeding requiring covered stents (2).

Conclusions:

  • Percutaneous reintervention is a safe and effective strategy for managing aortic coarctation stented in childhood.
  • Patients treated with aortic coarctation stents at an early age can be successfully re-treated after somatic growth completion.
Abstract

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