Use of covered stents in simultaneous management of coarctation of the aorta and patent ductus arteriosus

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dc.authorid0000-0002-3105-5472
dc.contributor.authorHekim Yılmaz, Emine
dc.contributor.authorBulut, Mustafa Orhan
dc.contributor.authorKüçük, Mehmet Alparslan
dc.contributor.authorYücel, İlker Kemal
dc.contributor.authorErdem, Abdullah
dc.contributor.authorÇelebi, Ahmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:42Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:42Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000429628000003
dc.descriptionPubMed ID: 29578201
dc.description.abstractObjective: To report clinical and procedural characteristics of twelve patients who received a covered stent for the treatment of aortic coarctation and concurrent patent ductus arteriosus (PDA). Methods: A single center database was retrospectively evaluated to obtain data of patients with combined aortic coarctation and PDA. We selected patients in whom a covered stent was used for the treatment of both pathologies. The stent length was chosen so as to cover the entire length of the lesion from healthy to healthy tissue and also cover the ampulla of PDA. Results: The median age of the patients was 15 (range, 6.5-35) years. The diameter of the coarctated segment increased from a median of 8.4 (range, 2.6-10.8) mm to 16 (range, 9-24) mm (p<0.005), whereas the pressure gradient decreased from a median of 43 (range, 10-71) mm Hg to 0 (range, 0-8) mm Hg (p<0.005). Fourteen covered stents were used for 12 patients. Following deployment, seven stents were flared with larger and low-pressure balloons because of the gap between the distal end of the stent and the poststenotic dilated segment of the aorta, which caused residual PDA shunts and/or instability of the stent. After the procedure, no residual PDA shunt was present in any patient. Conclusion: To the best of our knowledge, this study includes the largest series of patients reported in literature in whom covered CP stents were used for simultaneous percutaneous treatment of coarctation and PDA. The procedure was successful and stable results were obtained during follow-up in all cases.
dc.identifier.citationHekim Yılmaz, E., Bulut, M., Küçük, M., Yücel, İ., Erdem, A., ve Çelebi, A. (2018). Use of covered stents in simultaneous management of coarctation of the aorta and patent ductus arteriosus. Anatolian Journal of Cardiology, 19(4), 232-236. https://dx.doi.org/10.14744/AnatolJCardiol.2018.61257
dc.identifier.doi10.14744/AnatolJCardiol.2018.61257
dc.identifier.endpage236
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage232
dc.identifier.urihttps://dx.doi.org/10.14744/AnatolJCardiol.2018.61257
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2052
dc.identifier.volume19
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Society of Cardiology
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAortic Coarctation
dc.subjectPatent Ductus Arteriosus
dc.subjectCovered Stent
dc.titleUse of covered stents in simultaneous management of coarctation of the aorta and patent ductus arteriosus
dc.typeArticle

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