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[接受经皮血管成形术(无论是否植入支架)的患者的主动脉再通]

[Recoartación de la aorta en pacientes sometidos a angioplastia percutánea con o sin implantación de stent].

作者信息

Cañas-Galvis María A, Lince-Varela Rafael, Díaz-Medina Luis H, Correa Rafael, Restrepo Diana

机构信息

Facultad de Medicina, Universidad CES.

Servicio de Cardiología Pediátrica, Clínica CardioVID. Medellín, Colombia.

出版信息

Arch Cardiol Mex. 2021;91(4):444-452. doi: 10.24875/ACM.20000339.

Abstract

OBJECTIVE

Coarctation of the aorta can be treated surgically or with balloon angioplasty. The objective of our study was to describe the results after percutaneous balloon angioplasty with or without stent implantation for coarctation of the aorta and establish the incidence of recovery during follow-up.

METHOD

Cohort study. 89 patients of any age where included in a follow up period of nine years.

RESULTS

Of the 89 patients included in the study, 69.0% were male. The mean follow-up for all participants was 33.66 months. 32.5% of the patients had a stent implanted during the angioplasty procedure; of which 24.1% suffered recoarctation during follow-up. In the group without stent implantation, 36.6% suffered recoarctation. There was not significant difference in the survival curves of the two groups (p = 0.899).

CONCLUSIONS

Stent implantation during balloon angioplasty to treat aortic coarctation did not influence in the incidence of aortic recoarctation; but factors such as preangioplasty arterial hypertension and the final angioplasty gradient > 20 mmHg is associated with aortic recoarctation.

摘要

目的

主动脉缩窄可通过手术或球囊血管成形术进行治疗。我们研究的目的是描述在有或没有支架植入的情况下,经皮球囊血管成形术治疗主动脉缩窄后的结果,并确定随访期间恢复的发生率。

方法

队列研究。纳入89例任何年龄的患者,随访期为9年。

结果

在纳入研究的89例患者中,69.0%为男性。所有参与者的平均随访时间为33.66个月。32.5%的患者在血管成形术过程中植入了支架;其中24.1%在随访期间出现再缩窄。在未植入支架的组中,36.6%出现再缩窄。两组的生存曲线无显著差异(p = 0.899)。

结论

球囊血管成形术治疗主动脉缩窄期间植入支架对主动脉再缩窄的发生率没有影响;但血管成形术前的动脉高血压和最终血管成形术梯度>20 mmHg等因素与主动脉再缩窄有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5061/8641448/cac61ca5c987/ACM-91-444-g001.jpg

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