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• W2035013019 abstract "Balloon angioplasty of native aortic coarctation in children is now generally accepted as the initial management option, but its use in the neonate and young infant remains controversial. In order to objectively assess this matter, a review of previously published reports and an analysis of our own experience in recent years was undertaken. Balloon angioplasty has been shown to be effective in immediate relief of obstruction. During intermediate-term follow-up, recurrence of obstruction was encountered in a significant number of patients, but such recurrence has been successfully treated either by repeat balloon angioplasty or by surgery. The procedure is not associated with mortality, although there are occasional exceptions recorded in the literature. Arterial complications occur when femoral artery is used for balloon angioplasty. Aneurysms are uncommon following balloon angioplasty in neonates and young infants. These data indicated that complication rates are in an acceptable range and the procedure is considered safe. Comparison with surgical therapy revealed similar mortality rates and similar degree of relief of obstruction, but slightly lower morbidity and complication rates with balloon than surgical therapy. Data from our recent experience suggests effective palliation, defined as no need for surgical intervention for 4 weeks or longer, in 96% patients. But, recurrence was observed during short-term follow-up in 45% patients. The recurrence, however, has successfully been treated with repeat balloon angioplasty or surgical therapy. Transumbilical artery and transvenous anterograde approaches were devoid of femoral artery complications, while such complications are seen in infants undergoing the procedure via the femoral artery. Recent introduction of balloon catheters that can be introduced through 3-French sheaths may decrease arterial complications. Biodegradable stents, when they become available, may prevent or reduce recoarctation. Based on the available data, it may be concluded that balloon angioplasty is an acceptable alternative to surgical treatment in the initial management of native aortic coarctation in the neonate and young infant." @default.
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• W2035013019 date "2005-09-01" @default.
• W2035013019 modified "2023-09-30" @default.
• W2035013019 title "Aortic Coarctation: Current Solutions for a Complex Condition" @default.
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• W2035013019 doi "https://doi.org/10.1016/s1885-5857(06)60432-5" @default.
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