Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation
Yıl: 2021 Cilt: 9 Sayı: 1 Sayfa Aralığı: 61 - 69 Metin Dili: İngilizce DOI: 10.32596/ejcm.galenos.2020-12-067 İndeks Tarihi: 30-04-2021
Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation
Öz: Objectives: The aim of the study was to evaluate the frequency of reintervention in patients who underwent interventional and/or surgical treatment for aortic coarctation, and to determine the causative factors.Materials and Methods: Our study included 85 patients who were treated with the diagnosis of aortic coarctation between 2011 and 2018. Data processing, echocardiography, cardiac catheterization-angiocardiography, and operative records of the patients were retrospectively evaluated.Results: As the initial treatment choice, 38 (44%) patients underwent percutaneous interventional procedure [31 (36%) patients balloon angioplasty and 7 (8%) patients stent implantation, respectively], while 47 (55%) patients were treated surgically. Of the treated patients, 17 (28%) developed recoarctation. Among the patients who were treated and followed up, 20% of those who underwent balloon angioplasty developed recoarctation, while 8% of those who underwent surgery developed recoarctation (p=0.02). Seven patients who underwent stent implantation had no recoarctation throughout the follow-up period. The presence of discrete coarctation (p=0.00), high pre-procedural peak-to-peak pressure gradient (p=0.00) and high post-procedural peak-to-peak pressure gradient (p=0.00), and performing balloon angioplasty (p=0.02) as the initial treatment were evaluated as the factors leading to recoarctation development.Conclusion: It was concluded that the best treatment modality would be preferred based on the characteristics of the patient because of the lower incidence of recoarctation in surgical treatment but fewer procedure-related complications in interventional treatments.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. J Pediatr 2008;153:807-13.
- 2. Torok RD, Campbell MJ, Fleming GA, Hill KD. Coarctation of the aorta: Management from infancy to adulthood. World J Cardiol 2015;7:765-75.
- 3. Dijkema EJ, Sieswerda GT, Takken T, et al. Long-term results of balloon angioplasty for native coarctation of the aorta in childhood in comparison with surgery. Eur J Cardiothorac Surg 2018;53:262-8.
- 4. Rudolph AM, Heymann MA, Spitznas U. Hemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol 1972;30:514-25.
- 5. Forbes TJ, Kim DW, Du W, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: an observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol 2011;58:2664-74.
- 6. Brown ML, Burkhart HM, Connolly HM, et al. Coarctation of the aorta: lifelong surveillance is mandatory following surgical repair. J Am Coll Cardiol 2013;62:1020-5.
- 7. Hu ZP, Wang ZW, Dai XF, et al. Outcomes of surgical versus balloon angioplasty treatment for native coarctation of the aorta: a meta-analysis. Ann Vasc Surg 2014;28:394-403.
- 8. Ylinen MK, Tyni VE, Pihkala JI, Salminen JT, Sairanen H, Sarkola T. Procedural risk factors, incidence and timing of reintervention after treatment for native coarctation of the aorta in children: a population-based study†. Eur J Cardiothorac Surg 2019;55:564-71.
- 9. Toro-Salazar OH, Steinberger J, Thomas W, Rocchini AP, Carpenter B, Moller JH. Long-term follow-up of patients after coarctation of the aorta repair. Am J Cardiol 2002;89:541-7.
- 10. CAMPBELL M, POLANI PE. The aetiology of coarctation of the aorta. Lancet 1961;1:463-8.
- 11. Rao PS, Chopra PS, Koscik R, Smith PA, Willson AD. Surgical versus balloon therapy for aortic coarctation in infants < or = 3 months old. J Am Coll Cardiol 1994; 23:1479-83.
- 12. IJsselhof R, Liu H, Pigula F, et al. Rates of Interventions in Isolated Coarctation Repair in Neonates Versus Infants: Does Age Matter? Ann Thorac Surg 2019;107:180-6.
- 13. Carvalho JS, Redington AN, Shinebourne EA, Rigby ML, Gibson D. Continuous wave Doppler echocardiography and coarctation of the aorta: gradients and flow patterns in the assessment of severity. Br Heart J 1990;64:133-7.
- 14. Tan JL, Babu-Narayan SV, Henein MY, Mullen M, Li W. Doppler echocardiographic profile and indexes in the evaluation of aortic coarctation in patients before and after stenting. J Am Coll Cardiol 2005;46:1045-53.
- 15. Nihoyannopoulos P, Karas S, Sapsford RN, Hallidie-Smith K, Foale R. Accuracy of two-dimensional echocardiography in the diagnosis of aortic arch obstruction. J Am Coll Cardiol 1987;10:1072-7.
- 16. Cyran SE. Coarctation of the aorta in the adolescent and adult: echocardiographic evaluation prior to and following surgical repair. Echocardiography 1993;10:553-63.
- 17. Seifert BL, DesRochers K, Ta M, et al. Accuracy of Doppler methods for estimating peak-to-peak and peak instantaneous gradients across coarctation of the aorta: An In vitro study. J Am Soc Echocardiogr 1999;12:744-53.
- 18. Hijazi ZM, Fahey JT, Kleinman CS, Hellenbrand WE. Balloon angioplasty for recurrent coarctation of aorta. Immediate and long-term results. Circulation 1991;84:1150-6.
- 19. Wood AE, Javadpour H, Duff D, Oslizlok P, Walsh K. Is extended arch aortoplasty the operation of choice for infant aortic coarctation? Results of 15 years’ experience in 181 patients. Ann Thorac Surg 2004;77:1353-7.
- 20. Wright GE, Nowak CA, Goldberg CS, Ohye RG, Bove EL, Rocchini AP. Extended resection and end-to-end anastomosis for aortic coarctation in infants: results of a tailored surgical approach. Ann Thorac Surg 2005;80:1453-9.
- 21. O’Laughlin MP, Perry SB, Lock JE, Mullins CE. Use of endovascular stents in congenital heart disease. Circulation 1991;83:1923-39.
- 22. Thanopoulos BD, Giannakoulas G, Giannopoulos A, Galdo F, Tsaoussis GS. Initial and six-year results of stent implantation for aortic coarctation in children. Am J Cardiol 2012;109:1499-503.
- 23. Attenhofer Jost CH, Schaff HV, Connolly HM, et al. Spectrum of reoperations after repair of aortic coarctation: importance of an individualized approach because of coexistent cardiovascular disease. Mayo Clin Proc 2002;77:646- 53
APA | Inanir M, Meşe T, yılmazer m, KARAÇELIK M, gerçeker e, Zihni C (2021). Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. , 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
Chicago | Inanir Mehmet,Meşe Timur,yılmazer murat muhtar,KARAÇELIK MUSTAFA,gerçeker engin,Zihni Cüneyt Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. (2021): 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
MLA | Inanir Mehmet,Meşe Timur,yılmazer murat muhtar,KARAÇELIK MUSTAFA,gerçeker engin,Zihni Cüneyt Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. , 2021, ss.61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
AMA | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. . 2021; 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
Vancouver | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. . 2021; 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
IEEE | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C "Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation." , ss.61 - 69, 2021. 10.32596/ejcm.galenos.2020-12-067 |
ISNAD | Inanir, Mehmet vd. "Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation". (2021), 61-69. https://doi.org/10.32596/ejcm.galenos.2020-12-067 |
APA | Inanir M, Meşe T, yılmazer m, KARAÇELIK M, gerçeker e, Zihni C (2021). Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. E Journal of Cardiovascular Medicine, 9(1), 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
Chicago | Inanir Mehmet,Meşe Timur,yılmazer murat muhtar,KARAÇELIK MUSTAFA,gerçeker engin,Zihni Cüneyt Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. E Journal of Cardiovascular Medicine 9, no.1 (2021): 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
MLA | Inanir Mehmet,Meşe Timur,yılmazer murat muhtar,KARAÇELIK MUSTAFA,gerçeker engin,Zihni Cüneyt Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. E Journal of Cardiovascular Medicine, vol.9, no.1, 2021, ss.61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
AMA | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. E Journal of Cardiovascular Medicine. 2021; 9(1): 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
Vancouver | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation. E Journal of Cardiovascular Medicine. 2021; 9(1): 61 - 69. 10.32596/ejcm.galenos.2020-12-067 |
IEEE | Inanir M,Meşe T,yılmazer m,KARAÇELIK M,gerçeker e,Zihni C "Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation." E Journal of Cardiovascular Medicine, 9, ss.61 - 69, 2021. 10.32596/ejcm.galenos.2020-12-067 |
ISNAD | Inanir, Mehmet vd. "Evaluation of Reintervention Frequencyin Patients Undergoing Interventionaland/or Surgical Treatment for AorticCoarctation". E Journal of Cardiovascular Medicine 9/1 (2021), 61-69. https://doi.org/10.32596/ejcm.galenos.2020-12-067 |