Evaluation of Reintervention Frequency in Patients Undergoing Interventional and/or Surgical Treatment for Aortic Coarctation
Journal Title: E Journal of Cardiovascular Medicine - Year 2021, Vol 9, Issue 1
Abstract
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.
Authors and Affiliations
Cansu Özdemiral, Timur Meşe, Murat Muhtar Yılmazer, Mustafa Karaçelik, Engin Gerçeker, Cüneyt Zihni
Simultaneous Surgical Ablation of Atrial Fibrillation with Cardiac Surgery: A Review
Atrial fibrillation (AF) is the most common cardiac arrhythmia with the rate of 1-2% in general population. It is characterized by the absence of coordinated pulses in the atrium and micro-re-entry. Increasing age, coron...
Are Atrial High-rate Episodes a Kind of Sympathetic Overactivity in Patient with Permanent Pacemaker?
Objectives: Atrial high-rate episodes (AHREs) are important cardiac conditions. The purpose of the trial was to assess sympatho-vagal interaction as evaluated by the heart rate variability (HRV) of holter recordings in p...
Evaluation of the Relationship Between Platelet Indices and Mitral Restenosis After Percutaneous Mitral Balloon Valvuloplasty
Objectives: Percutaneous mitral balloon valvuloplasty (PMBV) has been established as an effective and safe treatment modality for symptomatic patients with severe rheumatic mitral stenosis. Wilkin scores ≤8 are associate...
Association Between Microalbuminuria and Pulse Pressure Among Patients with Isolated Systolic and Diastolic Hypertension
Objectives: The aim of this study is to examine the prevalence and predictors of microalbuminuria and to investigate the association between microalbuminuria and pulse pressure among patients with isolated systolic and d...
Successful Endovascular Retrieval of a Stent Fragment from the Femoral Artery
The use of peripheral angiography is very common in the diagnosis and treatment of peripheral artery disease. In this case, we retrieved the fragment of a stent that had fractured during the procedure for peripheral arte...