Balloon angioplasty of postsurgical recoarctation in infants

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Balloon angioplasty of postsurgical recoarctation in infants: the risk of restenosis and long-term follow-up.

OBJECTIVES This study was undertaken to evaluate the long-term results of balloon angioplasty (BA) for postsurgical recoarctation in infants. BACKGROUND Balloon angioplasty is a well-accepted modality for the treatment of recoarctation. However, infants remain a group of concern because of their size, risk for complications and the potential for restenosis with growth. Age <12 months has been...

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Balloon dilation angioplasty of aortic coarctations in infants and children.

Balloon dilation angioplasty (BDA) was attempted nine times in eight infants and children with aortic coarctation. In three infants (all with associated ventricular septal defect or atrioventricular canal and marked hemodynamic instability) dilation was attempted at a site of aortic narrowing that had not been operated on previously. Although the coarctation gradient fell 40% or more over the s...

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Fatal aortic rupture during balloon dilatation of recoarctation.

In an eight year old boy with a patch aortoplasty, the aorta ruptured during balloon angioplasty for recoarctation. At necropsy a 1.5 cm long, full thickness tear and a separate, smaller, intimal tear were found. Histological examination showed thinning of the elastic laminae of the aorta. Angioplasty for recoarctation may be dangerous in patients with a patch aortoplasty.

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Balloon Angioplasty

It is difficult to think of balloon angioplasty as a mature technique with which new devices must now be compared. It seems as if it were only yesterday that Gruentzig demonstrated a new and radical approach to myocardial revascularization.1 As success rates have leveled off at 90% or higher, half or more of current patients have complex or multivessel disease, bail-out methods and surgical bac...

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Balloon angioplasty for aortic recoarctation in children: initial and follow up results and midterm effect on blood pressure.

OBJECTIVE To assess the direct and follow up results of balloon angioplasty for aortic recoarctation with respect to the type of initial operation and to determine the midterm effect on systolic blood pressure. DESIGN Prospective study of invasive haemodynamic and angiographic data and non-invasive data on upper body blood pressure. SETTING Tertiary referral centre for paediatric cardiology...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2000

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(99)00527-6