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J Am Coll Cardiol, 2006; 47:1101-1107, doi:10.1016/j.jacc.2005.10.063 (Published online 21 February 2006).
© 2006 by the American College of Cardiology Foundation
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VIEWPOINT

The Results of Catheter-Based Therapy Compared With Surgical Repair of Adult Aortic Coarctation

John Alfred Carr, MD*

Department of Cardiovascular and Thoracic Surgery, University of Chicago, Chicago, Illinois.

Manuscript received June 24, 2005; revised manuscript received October 2, 2005, accepted October 12, 2005.

* Reprint requests and correspondence: Dr. John Alfred Carr, Department of Cardiovascular and Thoracic Surgery, University of Chicago, E-500, 5841 South Maryland Avenue, Chicago, Illinois 60637. (Email: heartandbones{at}yahoo.com).

A review was performed to compare the results of endovascular therapy (stenting and angioplasty) with surgical techniques to repair adult aortic coarctation. The immediate improvement in hypertension and the morbidity were similar across all groups. Surgical therapy was associated with a very low risk of restenosis and recurrence, whereas endovascular therapy had a much higher incidence of restenosis and the need for repeat interventions. The long-term outcome of endovascular approaches will need to be assessed in the future.

Abbreviations and Acronyms
  CI = confidence interval
  OR = odds ratio
  RR = relative risk




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