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Iranian Heart Journal، جلد ۵، شماره ۱.۲، صفحات ۵۱-۵۴
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عنوان انگلیسی BALLOON ANGIOPLASTY FOR AORTIC COARCTATION IN ADULT PATIENTS
چکیده انگلیسی مقاله Objective- The aim of this study was to evaluate the use of endovascular intervention in managing native and recurrent aortic coarctation in adult patients. Methods-Balloon angioplasty was undertaken transfemorally in 16 patients (mean age 18.3 ± 4 years old) with arterial hypertension in 12 native and 4 recurrent aortic coarctations. Systolic pressure gradient measurements were taken peri-interventionally and in the course of follow-up during conventional angiography and transesophageal echocardiography. The average diameters of the balloon catheters used ranged from 15 to 20 mm.Result-lmmiediately after aortic angioplasty, the peak systolic pressure gradient decreased from 61 mmHg ± 5.4 to 7.6 mmHg ± 2.2 across the coarctation (P < 0.001). One patient With recoarctation had an unsuccessful immediate result. Restenosis occurred in two patients, who subsequently underWent repeat dilation with successful results. Transesophageal echocardiography was repeated post-procedure and at 6 months post-intervention. One patient developed a small aneurysm at the site of dilation. In the course of follow-up, no other major or minor complications were observed.Conclusion- Endovascular intervention appears to be a safe and effective alternative to surgery for the treatment of native and recurrent aortic coarctation in most adult patients with a low rate of complications  
کلیدواژه‌های انگلیسی مقاله AORTIC ANGIOPLASTY, HYPERTENSION, AORTIC COARCTATION
نویسندگان مقاله H.A. BASIRI |
IRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN

S.A. ABDI |


نشانی اینترنتی http://journal.iha.org.ir/article_84170_c3259a9924b449c00e22863ce5d500b7.pdf
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