Baykan Ali, Karagöz Tevfik, Celiker Alpay
Division of Pediatric Cardiology, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Ankara, Turkey.
Turk J Pediatr. 2009 Mar-Apr;51(2):116-9.
The aim of this study was to report the intermediate follow-up results of stent implantation for coarctation of the aorta in children from Turkey. Patients with native or postoperative coarctation, who had abnormal flow at the descending aorta exceeding diastolic phase on Doppler echocardiography or upper extremity hypertension, underwent endovascular stent implantation. Ten patients with a mean age of 12.4 +/- 5.5 years (6-23 years) underwent stent implantation between January 2001 and September 2006. Of these, three had previous surgical repair, and the remainder were native coarctation. Palmaz, Genesis and Numed CP stents were used. All the implantations were successful and there was no major complication during the procedure. The follow-up period was 8-72 months and only one patient needed re-dilatation during this period. Stent implantation may be a feasible alternative to balloon angioplasty and surgery for adolescents. Patients who have previous surgical repair, high surgical risk, unfavorable anatomy, or refuse consent for surgical intervention are the best candidates for stent implantation. However, longer follow-up and new studies are necessary especially in younger patients.
本研究旨在报告土耳其儿童主动脉缩窄支架植入的中期随访结果。对于经多普勒超声心动图检查发现降主动脉血流异常超过舒张期或患有上肢高血压的原发性或术后主动脉缩窄患者，进行血管内支架植入。2001年1月至2006年9月期间，10例平均年龄为12.4±5.5岁（6 - 23岁）的患者接受了支架植入。其中，3例曾接受过手术修复，其余为原发性主动脉缩窄。使用了帕尔马兹、创世纪和纽迈德CP支架。所有植入均成功，术中无重大并发症。随访期为8 - 72个月，在此期间仅有1例患者需要再次扩张。对于青少年，支架植入可能是球囊血管成形术和手术的可行替代方案。曾接受过手术修复、手术风险高、解剖结构不利或拒绝接受手术干预的患者是支架植入的最佳候选者。然而，尤其是对于年轻患者，需要更长时间的随访和新的研究。
