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- W2067536275 abstract "Coarctation and recoarctation of aorta have been treated successfully with endovascular therapy, including balloon angioplasty or stent angioplasty, for >3 decades.1–4 After successful surgical repair reported by Craafoord and Nylin,5 the concept of angioplasty in the coronary arteries reported by Gruntzig et al6 opened up a new strategy of treatment of native and recoarctation.Article see p 1656Balloon angioplasty was successful in relieving the obstruction, but the long-term results were disappointing, with the recurrence of obstruction and incidence of aneurysm formation in the earlier studies.7,8 This was soon abandoned in infants and young children to make way for improved short-term and intermediate outcomes from surgery that included techniques such as end-to-end anastomosis, extended end-to-end anastomosis, subclavian flap repair, patch angioplasty, and interposition grafts for complex coarctation.9The basic principle of disruption of the aortic wall with a tear in the intima extending to the media remains the mechanism of relief of coarctation.10 Over time, stent angioplasty became a natural progression of an endovascular interventional strategy. The stent, apart from reducing the risk of recoarctation, also arguably reduces the risk of aneurysm formation by apposing the disrupted intima at the site of the coarctation.11 With the advent of stent angioplasty, the material properties, designs, and advantages and disadvantages of stents became important topics for discussions, publications, and research. The balloon-expandable, stainless steel, slotted-tube stents were the first to be used as off-label devices in aorta when designed primarily for renal and …" @default.
- W2067536275 created "2016-06-24" @default.
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- W2067536275 date "2015-05-12" @default.
- W2067536275 modified "2023-09-23" @default.
- W2067536275 title "Is the Coast Clear for Stent Angioplasty of Coarctation?" @default.
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- W2067536275 doi "https://doi.org/10.1161/circulationaha.115.016378" @default.
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