Page 25 - Journal of Structural Heart Disease Volume 3, Issue 5
P. 25

151
Case Report
ing aorta is possible and safe. Thus, hybrid stenting of arch obstruction and aortic isthmus is possible via retrograde access through the descending thoracic aorta and produces good anatomical and hemody- namic results. The use of stents capable of further dilatation can achieve good long-term prognosis. Al- though one may argue that an iliac artery cut-down could have been used to deliver a 6-F introducer fol- lowed by stent delivery, we believe that our approach enabled us to deliver the stent safely without the
need to reposition the child to best view the obstruc- tion via angiography.
Con ict of Interest
The authors have no con ict of interest relevant to this publication.
Comment on this Article or Ask a Question
References
1. Januszewska K, Kozlik-Feldmann R, Kor- don Z, Urschel S, Netz H, Reichart B, et al. Signi cance of the residual aortic obstruc- tion in multistage repair of hypoplastic left heart syndrome. Eur J Cardiothorac Surg. 2011;40:508–13. DOI: 10.1016/j. ejcts.2010.12.023
2. Schae er R, Sarikouch S, Peuster M. An- terograde Stent Implantation for Treat- ment of Recurrent Coarctation After Norwood Operation. Pediatr Cardiol. 2008;29:388–392. DOI: 10.1007/s00246- 007-9130-y
3. Bockeria LA, Alekyan BG, Pursanov MG. Transluminal balloon angioplasty and stenting of coarctation and recoarctation of the aorta. In: Bockeria LA, Alekyan BG (eds). Practice of roentgenoendovascular surgery of the heart and vessels. Vol .2. Roentgenendovascular surgery of congen- ital and acquired heart diseases. Moscow: A.N. Bakulev Scienti c Center of Cardio- vascular Surgery RAMS; 2008:2015-36 (in Russ)
4. Rothman A, Galindo A, Evans WN, Collazos JC, Restrepo H. E ectiveness and safety of balloon dilation of native aortic coarctation in premature neonates weighing < or = 2,500 grams. Am J Cardiol. 2010;105:1176- 80. DOI: 10.1016/j.amjcard.2009.12.023
5. Suarez de Lezo J, Pan M, Romero M. Per- cutaneous interventions on severe coarc- tation of the aorta: a 21-year experience. Pediatr Cardiol. 2005;26:176-189. DOI: 10.1007/s00246-004-0961-5
6. Vergales JE, Gangemi JJ, Rhueban KS, Lim DS. Coarctation of the Aorta - The Current State of Surgical and Transcatheter Ther-
apies. Curr Cardiol Revs. 2013;9:211-219.
DOI: 10.2174/1573403X113099990032
7. Ashcraft T, Jones K, Border W, Eghtesady P, Pearl JM, Khoury PR, et al. Factors a ecting long-term risk of aortic arch recoarctation after the Norwood procedure. Ann Thorac Surg 2008; 85:1397-401. DOI: 10.1016/j.
athoracsur.2007.11.054
8. Porras D, Brown D, Marshall A, del Nido P, Bacha E, McElhinney D. Factors associated with subsequent arch reintervention after initial balloon aortoplasty in patients with Norwood procedure and arch obstruction. J Am Coll Cardiol. 2011;58:868-76. DOI: 10.1016/j.jacc.2010.12.050
9. Haas NA, Happel CM, Blanz U, Laser KT, Kantzis M, Kececioglu D, et al. Intraopera- tive hybrid stenting of recurrent coarcta- tion and arch hypoplasia with large stents in patients with univentricular hearts. Int J Cardiol. 2016;204:156–163. DOI: 10.1016/j. ijcard.2015.11.136
10. Venczelova Z, Tittel P, Masura J. First expe- rience with andraStent XL implantation in children and adolescents with congenital heart diseases. Catheter Cardiovasc Interv. 2013;81:103–110. DOI: 10.1002/ccd.24505
11. Haas NA, Lewin MAG, Knirsch W, Nossal R, Ocker V, Uhlemann F. Initial experience using the NuMED Cheatham Platinum (CP) stent for interventional treatment of coarctation of the aorta in children and adolescents. Z. Kardiol. 2005;94:113–120. 10.1007/s00392-005-0180-y
12. Kutty S, Burke RP, Hannan RL, Zahn EM. Hybrid aortic reconstruction for treatment of recurrent aortic obstruction after stage 1 single ventricle palliation: medium term
outcomes and results of redilation, Cath- eter. Cardiovasc. Interv. 2011;78:93–100. DOI: https://doi.org/10.1002/ccd.22964
13.Schmitz C, Esmailzadeh B, Herberg U, Lang N, Sodian R, Kozlik-Feldmann R, et al. Hybrid procedures can reduce the risk of congenital cardiovascular surgery, Eur. J. Cardiothorac. Surg. 2008;34:718–725. 10.1016/j.ejcts.2008.06.028
14. Alekyan BG, Pursanov MG, Kim AI, Berish- villy DO, Grigoryan AM, Chuvarayan GA. Stenting of the coarctation of the aorta in critical newborns Statement of scienti c center of cardiovascular surgery named after A.N. Bakulev. 2016. Т. 17. No S3. С. 70a. (in Russ).
15. Cools B, Meyns B, Gewillig M. Hybrid stenting of aortic coarctation in very low birth weight premature infant. Catheter. Cardiovasc. Interv. 2013;81:195–198. DOI: 10.1002/ccd.24420
16. Kudumula V, Noonan P, Taliotis D, Duke C. Implantation and Preliminary Follow-Up of the Bard Valeo Stent in Pulmonary Ar- tery Stenosis. Catheter Cardiovasc Interv. 2014;84;197-203. PMID: 24532385
Pursanov, M. G. et al.
New Approach for Hybrid Stenting of the Aortic Arch
Cite this article as: Pursanov MG, Svobodov AA, Levchenko EG, Atajanov UU. New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children. Structural Heart Disease. 2017;3(5):147-151. DOI: https://doi.org/10.12945/j.jshd.2017. 020.17


































































































   23   24   25   26   27