Short- and mid-term results of balloon angioplasty in the treatment of aortic coarctation in children; [Çocuklarda aort koarktasyonu tedavisinde balon anjiyoplastinin kisa ve orta dònem sonuçlari]

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dc.contributor.authorOkur F.
dc.contributor.authorTavli V.
dc.contributor.authorSantaş T.
dc.contributor.authorTalat Tavli M.
dc.date.accessioned2024-07-22T08:22:35Z
dc.date.available2024-07-22T08:22:35Z
dc.date.issued2008
dc.description.abstractObjectives: We evaluated short- and mid-term results of balloon angioplasty performed in pediatric patients with aortic coarctation. Study design: The study included 20 children (12 boys, 8 girls; mean age 3.4±3.7 years; range 15 days to 13 years) who underwent balloon angioplasty for aortic coarctation. The patients were assessed by transthoracic echocardiography for left ventricular functions and recoarctation within a mean follow-up period of 19.6±15.3 months (range 1 to 48 months). Results: The mean peak systolic gradients were 49.8±14.7 mmHg and 9.3±11.1 mmHg before and just after balloon angioplasty, respectively (p<0.05). Decrease in the gradients was not sufficient in three cases. During the follow-up period, transient loss of lower extremity pulses was seen in two cases, and a small aneurysmal formation in one case. Procedure-related mortality did not occur. The mean left ventricle mass index decreased by 4.3% following the procedure (p>0.05). Despite successful balloon angioplasty, hypertension persisted in two cases whose ages were 11 and 13 years, respectively. Restenoses were observed in five cases within a mean of six months, which were dealt with by surgical resection and end-to-end anastomosis in four cases, and by subclavian flap angioplasty in one case. Despite surgical resection-anastomosis and subclavian flap angioplasty, two patients developed restenosis, for which repeat balloon angioplasty was planned. Conclusion: Considering its short- and mid-term results, balloon angioplasty is a successful and reliable procedure in the treatment of aortic coarctation.
dc.identifier.issn10165169
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19153
dc.language.isoTurkish
dc.subjectAdolescent
dc.subjectAngioplasty, Balloon
dc.subjectAortic Coarctation
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectEchocardiography, Transesophageal
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectMale
dc.subjectTreatment Outcome
dc.subjectTurkey
dc.subjectadolescent
dc.subjectaorta coarctation
dc.subjectarticle
dc.subjectchild
dc.subjectechography
dc.subjectevaluation
dc.subjectfemale
dc.subjecthuman
dc.subjectinfant
dc.subjectmale
dc.subjectnewborn
dc.subjectpathology
dc.subjectpercutaneous transluminal angioplasty
dc.subjectpreschool child
dc.subjecttransesophageal echocardiography
dc.subjecttreatment outcome
dc.subjectTurkey (republic)
dc.titleShort- and mid-term results of balloon angioplasty in the treatment of aortic coarctation in children; [Çocuklarda aort koarktasyonu tedavisinde balon anjiyoplastinin kisa ve orta dònem sonuçlari]
dc.typeArticle

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