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Balloon Dilation and Stent Placement for Coarctation

  • Lisa Bergersen
  • Susan Foerster
  • Audrey C. Marshall
  • Jeffery Meadows

Abstract

Since its initial description in the early 1980s, balloon dilation (with or without stenting) as a treatment for coarctation of the aorta has become increasingly common, particularly outside of the neonatal period. Catheter intervention is generally recognized as the preferred method of treating recurrent coarctation. For native coarcation most centers will consider treatment of the older child or adult with primary catheter therapy, whereas balloon dilation of native coarctation in infancy is rare. Obviously, there are many diverse situations in which arch obstruction can occur, ranging from isolated coarctation with an otherwise normal heart to complex postsurgical arch obstruction following single ventricle palliation. The approach to each patient will be individualized, but there are common elements to these cases which are outlined below.

Keywords

Stent Placement Subclavian Artery Balloon Dilation Pigtail Catheter Arterial Sheath 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Marshall AC Perry SB, Keane JF et al. Early results and medium term follow-up of stent implantation for mild residual or recurrent aortic coarctation. Am Heart J 2000; 139:1054–1060.PubMedCrossRefGoogle Scholar
  2. 2.
    Qureshi AM, McElhinney DB, Lock JE et al. Fifteen years of stent implantation for coarctation of the aorta: acute and intermediate outcomes and evaluation of aortic wall injury. Cardiol Young 2007; 17: 307–318.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Lisa Bergersen
    • 1
  • Susan Foerster
    • 2
  • Audrey C. Marshall
    • 1
  • Jeffery Meadows
    • 3
  1. 1.Department of CardiologyChildren’s Hospital BostonBostonUSA
  2. 2.Washington University in St. LouisSt. LouisUSA
  3. 3.Division of Pediatric CardiologyUniversity of California at San FranciscoSan FranciscoUSA

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