Rao P S
Department of Pediatrics, University of Wisconsin Medical School, Madison.
Clin Cardiol. 1989 Nov;12(11):618-28. doi: 10.1002/clc.4960121103.
Since the initial report of balloon coarctation angioplasty in 1982, several workers used this technique in native coarctation and postoperative recoarctation. Immediate and intermediate-term follow-up results are generally good with a small chance for recoarctation and aneurysmal formation at the site of coarctation. The causes of recoarctation were identified and include age less than 1 year, isthmus hypoplasia, and a small coarcted aortic segment. Despite good immediate and follow-up results, recommendations for use of balloon angioplasty as a treatment procedure of choice are clouded by the reports of development of aneurysms at the site of coarctation. We feel that balloon coarctation angioplasty is the treatment of choice in neonates and small infants, while general use of this technique in both native and postoperative coarctations in older children should await follow-up results in larger numbers of children at selected centers.
自1982年首次报道球囊缩窄血管成形术以来，已有数名研究人员将该技术应用于原发性缩窄和术后再缩窄。即时和中期随访结果总体良好，缩窄部位再缩窄和动脉瘤形成的几率较小。已确定再缩窄的原因包括年龄小于1岁、峡部发育不全以及缩窄的主动脉段较小。尽管即时和随访结果良好，但由于有报道称缩窄部位出现动脉瘤，因此关于将球囊血管成形术作为首选治疗方法的建议仍不明确。我们认为，球囊缩窄血管成形术是新生儿和小婴儿的首选治疗方法，而在年龄较大儿童的原发性和术后缩窄中普遍应用该技术则应等待更多选定中心的儿童随访结果。
