Advertisement

Click here for more guidelines.

 
 




CME Topic Collections Past Issues Search Current Issue Home
     

J Am Coll Cardiol, 1996; 28:1810-1817
© 1996 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by McCrindle, B.
Right arrow Articles by Latson, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McCrindle, B.
Right arrow Articles by Latson, L.

Acute results of balloon angioplasty of native coarctation versus recurrent aortic obstruction are equivalent. Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry Investigators

BW McCrindle, TK Jones, WR Morrow, DJ Hagler, TR Lloyd, S Nouri, and LA Latson

Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada.

OBJECTIVES: This study sought to compare the immediate results and risk factors for suboptimal outcomes of percutaneous balloon angioplasty for native versus recurrent aortic obstruction. BACKGROUND: Some cardiology centers have been reluctant to adopt balloon angioplasty for treatment of native aortic coarctation, while advocating balloon angioplasty over an operation for treatment of postsurgical or recurrent aortic obstruction. METHODS: Acute results were analyzed from 970 procedures (422 native and 548 recurrent lesions) performed between 1982 and 1995 in 907 patients from 25 centers. An acute suboptimal outcome was defined as one or more of the following: residual systolic pressure gradient > or = 20 mm Hg, residual proximal to distal systolic pressure ration > or = 1.33 or a major complication (death, aortic transmural tear, stroke). RESULTS: Bal loon angioplasty significantly (p = 0.0001) increased lesion diameter fo r both native (mean [+/= SD] 128 +/= 94%) and recurrent aortic obstruction (97 +/= 87%), with a significantly greater increase in the native group (p = 0.0001). A reduction in systolic pressure gradients was significant in both groups (p = 0.0001), but slightly higher (p = 0.01) for native (-74 +/- 24%) versus recurrent obstruction (-70 +/- 31%). Death associated with angioplasty was reported in 0.7% of patients with native and in 0.7% of patients with recurrent lesions (p = 1.00). An acute suboptimal outcome was noted with angioplasty in 19% of native and in 25% of recurrent lesions (p = 0.04). Significant independent risk factors included higher preangioplasty systolic gradient (odds ratio [OR] 1.39/10-mm Hg increment; 95% confidence interval [CI] 1.28 to 1.50, p = 0.0001), earlier study date (OR 0.92/1-year increment, 95% CI 1.02 to 1.26, p = 0.02) and recurrent obstruction (OR 1.39 vs. native lesions, 95% CI 1.00 to 1.94, p = 0.05). CONCLUSIONS: Acute results and complications of balloon angioplasty of native coarctation appear to be equivalent or slightly superior to those of recurrent aortic obstructions.


This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
J. W. Brown, M. Ruzmetov, M. H. Hoyer, M. D. Rodefeld, and M. W. Turrentine
Recurrent Coarctation: Is Surgical Repair of Recurrent Coarctation of the Aorta Safe and Effective?
Ann. Thorac. Surg., December 1, 2009; 88(6): 1923 - 1931.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll Cardiol IntvHome page
U. R. Mohan, S. Danon, D. Levi, D. Connolly, and J. W. Moore
Stent Implantation for Coarctation of the Aorta in Children <30 kg
J. Am. Coll. Cardiol. Intv., September 1, 2009; 2(9): 877 - 883.
[Abstract] [Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
P. K. Mishra
Management strategies for interrupted aortic arch with associated anomalies
Eur J Cardiothorac Surg, April 1, 2009; 35(4): 569 - 576.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al.
ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease) Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
J. Am. Coll. Cardiol., December 2, 2008; 52(23): e143 - e263.
[Full Text] [PDF]


Home page
CirculationHome page
C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al.
ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease): Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Circulation, December 2, 2008; 118(23): e714 - e833.
[Full Text] [PDF]


Home page
Eur Heart JHome page
O. Reich, P. Tax, H. Bartakova, V. Tomek, J. Gilik, J. Lisy, J. Radvansky, T. Matejka, T. Tlaskal, I. Svobodova, et al.
Long-term (up to 20 years) results of percutaneous balloon angioplasty of recurrent aortic coarctation without use of stents
Eur. Heart J., August 2, 2008; 29(16): 2042 - 2048.
[Abstract] [Full Text] [PDF]


Home page
Br Med BullHome page
E. Bedard, D. F. Shore, and M. A. Gatzoulis
Adult congenital heart disease: a 2008 overview
Br. Med. Bull., March 1, 2008; 85(1): 151 - 180.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
J. Aboulhosn and J. S. Child
Left Ventricular Outflow Obstruction: Subaortic Stenosis, Bicuspid Aortic Valve, Supravalvar Aortic Stenosis, and Coarctation of the Aorta
Circulation, November 28, 2006; 114(22): 2412 - 2422.
[Full Text] [PDF]


Home page
Eur Heart JHome page
A. Eicken, U. Pensl, W. Sebening, A. Hager, T. Genz, C. Schreiber, D. Lang, H. Kaemmerer, R. Busch, and J. Hess
The fate of systemic blood pressure in patients after effectively stented coarctation
Eur. Heart J., May 1, 2006; 27(9): 1100 - 1105.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
A. Tzifa, P. Ewert, G. Brzezinska-Rajszys, B. Peters, M. Zubrzycka, E. Rosenthal, F. Berger, and S. A. Qureshi
Covered Cheatham-Platinum Stents for Aortic Coarctation: Early and Intermediate-Term Results
J. Am. Coll. Cardiol., April 4, 2006; 47(7): 1457 - 1463.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
B. W. McCrindle, C. I. Tchervenkov, I. E. Konstantinov, W. G. Williams, R. A. Neirotti, M. L. Jacobs, E. H. Blackstone, and For the members of the Congenital Heart Surgeons S
Risk factors associated with mortality and interventions in 472 neonates with interrupted aortic arch: A Congenital Heart Surgeons Society study
J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 343 - 350.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
D. J. DiBardino, J. S. Heinle, G. C. Kung, G. T. Leonard Jr, E. D. McKenzie, J. T. Su, and C. D. Fraser Jr
Anatomic reconstruction for recurrent aortic obstruction in infants and children
Ann. Thorac. Surg., September 1, 2004; 78(3): 926 - 932.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
M. A. Hamdan, S. Maheshwari, J. T. Fahey, and W. E. Hellenbrand
Endovascular stents for coarctation of the aorta: initial results and intermediate-term follow-up
J. Am. Coll. Cardiol., November 1, 2001; 38(5): 1518 - 1523.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
E. Rosenthal
Stent implantation for aortic coarctation: the treatment of choice in adults?
J. Am. Coll. Cardiol., November 1, 2001; 38(5): 1524 - 1527.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. G. Magee, C. I. Blauth, and S. A. Qureshi
Interventional and surgical management of aortic stenosis and coarctation
Ann. Thorac. Surg., February 1, 2001; 71(2): 713 - 715.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
J. L GIBBS
Treatment options for coarctation of the aorta
Heart, July 1, 2000; 84(1): 11 - 13.
[Full Text]


Home page
J Am Coll CardiolHome page
S. Maheshwari, E. Bruckheimer, J. T. Fahey, and W. E. Hellenbrand
Balloon angioplasty of postsurgical recoarctation in infants: The risk of restenosis and long-term follow-up
J. Am. Coll. Cardiol., January 1, 2000; 35(1): 209 - 213.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
N. C. Poirier, G. S. Van Arsdell, M. Brindle, G. K. Thyagarajan, J. G. Coles, M. D. Black, R. M. Freedom, and W. G. Williams
Surgical treatment of aortic arch hypoplasia in infants and children with biventricular hearts
Ann. Thorac. Surg., December 1, 1999; 68(6): 2293 - 2297.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
A G Magee, G Brzezinska-Rajszys, S A Qureshi, E Rosenthal, M Zubrzycka, J Ksiazyk, and M Tynan
Stent implantation for aortic coarctation and recoarctation
Heart, November 1, 1999; 82(5): 600 - 606.
[Abstract] [Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
A. G. Sakopoulos, T. L. Hahn, M. Turrentine, and J. W. Brown
Recurrent aortic coarctation: Is surgical repair still the gold standard?
J. Thorac. Cardiovasc. Surg., October 1, 1998; 116(4): 560 - 565.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
G. S. Shirali, C. E. Cephus, M. A. Kuhn, K. K. Ogata, L. K. Vander Dussen, R. E. Chinnock, N. F. Mulla, J. K. Johnston, L. L. Bailey, S. R. Gundry, et al.
Posttransplant recoarctation of the aorta: a twelve year experience
J. Am. Coll. Cardiol., August 1, 1998; 32(2): 509 - 514.
[Abstract] [Full Text] [PDF]



 
  CME Topic Collections Past Issues Search Current Issue Home

Advertisement