Very long-term follow-up after aortic stenting for coarctation of the aorta

被引:1
作者
Pan, Manuel [1 ,2 ,3 ]
Pericet, Cristina [1 ,2 ]
Gonzalez-Manzanares, Rafael [1 ,2 ]
Diaz, Manuel A. [1 ,2 ]
de Lezo, Javier Suarez [1 ,2 ]
Hidalgo, Francisco [1 ,2 ]
Alvarado, Marco [1 ,2 ]
Duenas, Guillermo [1 ,2 ]
Gomez, Elena [4 ]
Espejo, Simona [5 ]
Perea, Jorge [1 ,2 ]
Romero, Miguel [1 ,2 ,3 ]
Ojeda, Soledad [1 ,2 ,3 ]
机构
[1] Hosp Univ Reina Sofia, Serv Cardiol, Cordoba, Spain
[2] Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Spain
[3] Univ Cordoba, Cordoba, Spain
[4] Hosp Univ Reina Sofia, Serv Paediat, Cordoba, Spain
[5] Hosp Univ Reina Sofia, Serv Radiol, Cordoba, Spain
来源
REVISTA ESPANOLA DE CARDIOLOGIA | 2024年 / 77卷 / 04期
关键词
Aortic coarctation; Congenital heart diseases; Aneurysm; Stent fractures; CHEATHAM-PLATINUM STENTS; COVERED STENTS; INTERMEDIATE OUTCOMES; NATIVE COARCTATION; IMPLANTATION; IMMEDIATE; MANAGEMENT; EXPERIENCE; PLACEMENT; INJURY;
D O I
10.1016/j.rec.2023.10.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and objectives: Stent implantation is the preferred treatment in older children and adults with aortic coarctation (CoA). We aimed to determine the incidence of very late events after CoA stenting. Methods: We analyzed a cohort of CoA patients who underwent stent implantation at our center between 1993 and 2018. Patients were periodically followed up in outpatient clinics, including computed tomography (CT) and fluoroscopy assessment. Results: A total of 167 patients with CT and fluoroscopy data were included: 83 (49.7%) were aged <= 12 years and 46 (28%) were female. The mean clinical follow-up time was 17 +/- 8 (range 4-30) years and the mean time to CT/fluoroscopy was 11 +/- 7 years. Aortic aneurysm was present in 13% and was associated with the PALMAZ stent (OR, 3.09; 95%CI, 1.11-9.49; P = .036) and the stented length (OR, 0.94; 95%CI, 0.89-0.99; P = .039). Stent fracture was frequent (34%), but was not related to the presence of aneurysm. Stent fracture was associated with young age (OR, 3.57; 95%CI, 1.54-8.33; P = .003), male sex (OR, 4.00; 95%CI, 1.51-12.5, P = .008) and inversely with the PALMAZ stent (OR, 0.29; 95%CI, 0.12-0.67, P = .005). Reintervention was lower in adults (10%), mainly related to aneurysms. Those treated when aged <= 12 years had higher reintervention rates (43%) due to recoarctation somatic growth. Conclusions: This long-term follow-up study of CoA patients treated with stenting revealed a significant incidence of late events. Reintervention rates were higher in patients treated at younger ages. Periodic imaging surveillance appears to be advisable. (c) 2023 Sociedad Espanola de Cardiolog & imath;a. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:332 / 341
页数:10
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