Balloon coarctation angioplasty: Follow-up of 103 patients

被引:0
|
作者
Saba, SE [1 ]
Nimri, M [1 ]
Shamaileh, Q [1 ]
Al-Hakim, F [1 ]
Krayyem, M [1 ]
Abu-Ata, I [1 ]
Saket, A [1 ]
Harbi, N [1 ]
Hiari, A [1 ]
Turi, ZG [1 ]
David, SW [1 ]
Goussous, Y [1 ]
机构
[1] Providence Hosp, Div Cardiol, Southfield, MI 48075 USA
来源
JOURNAL OF INVASIVE CARDIOLOGY | 2000年 / 12卷 / 08期
关键词
native coarctation; surgical alternative;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To evaluate the role of balloon coarctation angioplasty (BCA) in the management of patients with native coarctation of the aorta. Background BCA has emerged as an alternative to surgery for patients with native coarctation of the aorta. However, its role remains controversial. Methods. Over a 7-year period, 103 patients undergoing BCA were enrolled in the study. Hemodynamic evaluation was obtained at baseline and immediately following BCA; 75% of patients returned for follow-up evaluation at 26 +/- 20 months. Results. The systolic gradient across the coarcted segment decreased from 59 +/- 18 mmHg to 10 +/- 11 mmHg following BCA (p < 0.001). The procedure was successful in 82% of patients, and partial improvement was obtained in 17%. Repeat intervention was performed in 13% of the follow-up group. Surgical intervention was needed in 8 patients. Conclusion. Balloon angioplasty is an effective first-line intervention in patients with native coarctation of the aorta.
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页码:402 / 406
页数:5
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