Balloon expandable stents for coarctation of the aorta: current status and technical considerations: case report.
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2005-02-21
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Abstract
BACKGROUND: Balloon expandable stents have been used to manage coarctation of the aorta (Co) in selected patients with very encouraging results.
MATERIAL AND METHOD: The authors report here the first group of patients with Co who underwent a successful implantation of the new Palmaz Genesis stent with intermediate term follow up.
RESULTS: There were 5 patients with an age range from 14 to 23 years old. All of them had significant Co and were receiving multiple anti-hypertensive medications. Primary stenting was performed in all patients. All of them had an immediate relief of the gradient. All antihypertensive medications were discontinued immediately in 4 patients. All patients had one year follow up which revealed a minimum gradient. One patient continues to receive oral antihypertensive medication.
CONCLUSION: In patients with coarctation of the aorta (native or recoarctation of aorta), stent implantation may be a feasible and improved option to relieve the stenosis. Short and mid term followup of these patients have shown encouraging results.
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Chotmaihet Thangphaet.
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Durongpisitkul K, Laohaprasitiporn D, Chanthong P, Panchavinnin P. Balloon expandable stents for coarctation of the aorta: current status and technical considerations: case report. Journal of the Medical Association of Thailand. 2005 Feb; 88(2): 269-74