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Interv Cardiol Clin. 2019 Jan;8(1):47-58. doi: 10.1016/j.iccl.2018.08.001. Epub 2018 Oct 25.

Current Transcatheter Approaches for the Treatment of Aortic Coarctation in Children and Adults.

Author information

1
The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
2
The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: bryan.goldstein@cchmc.org.

Abstract

Coarctation of the aorta is a common congenital heart defect and can present at any age. Infants may carry a fetal diagnosis, or are generally diagnosed after auscultation of a murmur, although rarely present in shock. Those that escape early childhood detection typically present in adolescence and adulthood, generally with upper-extremity hypertension. Percutaneous therapies have evolved to include balloon angioplasty and stent placement, and generally are the preferred first-line therapy for most adolescent/adult patients. Percutaneous interventions are now viable options in younger and smaller patients. The advent of bioresorbable stents may provide further expansion of treatment options to very small patients.

KEYWORDS:

Balloon aortic angioplasty; Balloon-expandable stent delivery; Coarctation; Covered stents

PMID:
30449421
DOI:
10.1016/j.iccl.2018.08.001
[Indexed for MEDLINE]

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