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Use of covered Cheatham-Platinum stents in aortic coarctation and recoarctation

Published online by Cambridge University Press:  20 January 2005

Shakeel A Qureshi
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
Maria Zubrzycka
Affiliation:
Centrum Zdrowia Dziecka, Warsaw, Poland
Grazyna Brzezinska-Rajszys
Affiliation:
Centrum Zdrowia Dziecka, Warsaw, Poland
Andrzej Kosciesza
Affiliation:
Centrum Zdrowia Dziecka, Warsaw, Poland
Joanna Ksiazyk
Affiliation:
Centrum Zdrowia Dziecka, Warsaw, Poland

Abstract

We inserted covered Cheatham-Platinum stents in 4 patients, ranging in age from 12 to 19 years, who weighed between 45 and 94 kg. All the patients had aortic coarctation, with surgical repair having been attempted previously in one, and with balloon dilation having been performed as the primary treatment in two, resulting in formation of aneurysms. The fourth patient had not received any treatment. The gradients were reduced from 10 to 40 mmHg before insertion of the stent to 0 to 5 mmHg after stenting. No complications were encountered. All the patients are well at an interval of 3 to 14 months after stenting.

Type
Original Article
Copyright
© 2004 Cambridge University Press

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References

Taylor PR, Gaines PA, McGuinness CL, Beard JD, Cooper G, Reidy JF. Thoracic aortic stent grafts – early experience from two centres using commercially available devices. Eur J Vasc & Endovasc Surg 2001; 22: 7076.Google Scholar
Gunn J, Cleveland T, Gaines P. Covered stent to treat coexistent coarctation and aneurysm of the aorta in a young man. Heart 1999; 82: 351.Google Scholar
de Giovanni JV. Covered stents in the treatment of aortic coarctation. J Intervent Cardiol 2001; 14: 187190.Google Scholar
Khan MS, Moore JW. Treatment of abdominal aortic pseudoaneurysm with covered stents in a paediatric patient. Cathet & Cardiovasc Intervent 2000; 50: 445448.Google Scholar
Cheatham JP. Stents and Amplatzers: what's an interventionalist to do? Catheter Cardiovasc Intervent 1999; 47: 3940.Google Scholar
Magee AG, Brzezinska-Rajszys G, Qureshi SA, et al. Stent implantation for aortic coarctation and recoarctation. Heart 1999; 82: 600606.Google Scholar
Brzezinska-Rajszys G, Qureshi SA, Ksiazyk J, et al. Middle aortic syndrome treated by stent implantation. Heart 1999; 81: 166170.Google Scholar
Thanopoulous BD, Hadjinikolou L, Konstadopoulou GN, Tsaousis GS, Triposkiadis F, Spirou P. Stent treatment for coarctation of the aorta: intermediate term follow up and technical considerations. Heart 2000; 84: 6570.Google Scholar
Hamdan MA, Maheshwari S, Fahey JT, Hellenbrand WE. Endovascular stents for coarctation of the aorta: initial results and intermediate term follow up. J Am Coll Cardiol 2001; 38: 15181523.Google Scholar
Ovaert C, Benson LN, Nykanen D, Freedom R. Transcatheter treatment of coarctation of the aorta: a review. Pediatr Cardiol 1998; 19: 2744.Google Scholar
Ebeid MR, Prieto LR, Latson LA. Use of balloon-expandable stents for coarctation of the aorta: initial results and intermediate-term follow-up J Am Coll Cardiol 1997; 30: 18471852.Google Scholar
Suarez de Lezo J, Pan M, Romero M, et al. Balloon-expandable stent repair of severe coarctation of aorta. Am Heart J 1995; 129: 10021008.Google Scholar
Suarez de Lezo J, Pan M, Romero M, et al. Immediate and follow-up findings after stent treatment for severe coarctation of aorta. Am J Cardiol 1999; 83: 400406.Google Scholar
Wada T, Yao H, Miyamoto T, Mukai S, Yamamura M. Prevention and detection of spinal cord injury during thoracic and thoraco-abdominal aortic repairs. Ann Thorac Surg 2001; 72: 8084.Google Scholar
Connolly JE. Prevention of spinal cord complications in aortic surgery. Am J Surg 1998; 176: 92101.Google Scholar
Hakim F, Hawelleh AA, Goussous Y, Hijazi ZM. Simultaneous stent implantation for coarctation of the aorta and closure of patent ductus arteriosus using the Amplatzer duct occluder. Cathet Cardiovasc Intervent 1999; 47: 3638.Google Scholar
Galal O, Al-Fadley, Wilson N. Successful transcatheter closure of patent arterial duct six years after balloon dilation of coarctation of the aorta. Int J Cardiol 1992; 35: 123125.Google Scholar
Cheatham JP. Stenting of coarctation of the aorta. Cathet Cardiovasc Intervent 2001; 54: 112125.Google Scholar