Early and mid-term outcomes of Cheatham platinum stent for the native aortic coarctation
HU Bin-quan1
XIE En-ming1
LIU Yuan1
HUANG Wen-hui1
LUO Song-yuan1
YANG Fan1
ZHU Yi1
XUE Ling1
XIE Nian-jin1
LI Jie1
FAN Rui-xin2
LUO Jian-fang1
1.Department of Cardiology,Guangdong Cardiovascular Institute,Guangdong Provincial People's Hospital,Guang-dong Academy of Medical Sciences,Guangzhou 510180,Guangdong,China2.Department of Cardio-vascular surgery,Vascular Center,Guangdong Cardiovascular Institute,Guangdong Provincial People's Hospital,Guang-dong Academy of Medical Sciences,Guangzhou 510180,Guangdong,China
摘要：Background Aortic coarctation(CoA)is a common congenital cardiovascular defect. Until now,there is no unified conclusions about the therapeutic options of the native aortic coarctation (CoA) in adolescents and adults. Methods From May 2010 to April 2018,consecutive 23 patients(median age 25 years,range 15-57 years)with native CoA underwent endovascular repair by applying covered Cheatham platinum(CP)stent in our center. Related variables were retrospectively collected and analyzed. Results Ten cases were complicated with other congenital heart diseases. Hypertension was confirmed in 21(91.3％)patients. In these patients,thir-teen cases(61.9％)had a normal blood pressure without drug treatment during follow-up.The systolic right arm blood pressure significantly decreased from a mean of 150.7±6.4 mmHg pre-operation to 128.0±12.5mmHg dis-charge(P<0.001),and the diastolic pressure decreased from 82.0±10.0 to 73.1±6.8mmHg(P<0.001). The diam-eter of the coarcted segment increased from 5.0 ± 2.3 to 16.9 ± 2.3 mm (P<0.001). The peak systolic gradient significantly decreased from 64.9 ± 20.9 to 7.1 ± 6.1 mm Hg(P<0.001). The median follow-up was 30 months (range 1 months to 7.9 years). Complications were found in 4 people within one month:1 suspected cardio-vascular-related death ,1 new aortic dissection ,1 splenic infarction ,and 1 path-related arterial occlusion. Conclusions Our limited experience demonstrated that stent implantation is a reliable technique for the manage-ment of native aortic coarctation in adolescents and adults. Our intermediate-term results seem encouraging ,how-ever,the early complications should be considered. A larger series of cases with a longer follow-up is needed to substantiate these results.
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论文发表日期：2020-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：9( 30-37,52 )
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