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Transcatheter Therapy for Coarctation of Aorta: Analysis of 150 Cases

机译:经导管治疗主动脉缩窄150例分析

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Background: This study was conducted to analyze the outcome of transcatheter intervention of Coarctation of aorta carried out on 150 patients.Methods: This was a retrospective study, conducted in Pediatric Cardiology Unit, Combined Military Hospital Dhaka and Lab Aid Cardiac hospital from January 2007 to December 2015. Data were collected by chart review.Results: Age of the patient varies from 7 days to 28 years. Sixty six (44%) patients were female and rest were male. Native coarctation was 138 (92%) and post surgical re-coarctation was 12 (8%). Neonatal critical Coarctation was 60 (40%). Thirty six (24%) cases were detected when they were investigated for hypertension. Abdominal coarctation was found in 18 cases (12%). Multiple coarctation was found in 9 (6%) cases. Six cases (4%) had balloon angioplasty twice and 12(8%) cases had stenting after recoarctation as they had body weight above 15 kg. Aneurysm and aortic dissection was observed in one (0.66%) case. Thrombophlebitis observed in 3(2%) cases and temporary pulse loss in 9 (6%) cases. No mortality was noticed.Conclusion: Balloon angioplasty for coarctation of aorta and stenting in suitable cases is a safe and effective measure to treat coarctation of aorta.Cardiovasc. j. 2017; 10(1): 56-62
机译:背景:本研究旨在分析150例经主动脉缩窄的经导管介入治疗的结果。方法:该研究是一项回顾性研究,于2007年1月至2005年1月在达卡联合军事医院和Lab Aid心脏医院的儿科心脏科进行。 2015年12月。通过图表审查收集数据。结果:患者年龄从7天到28岁不等。六十六名(44%)患者为女性,其余为男性。天然缩窄为138(92%),术后再缩窄为12(8%)。新生儿临界收缩率为60(40%)。在对高血压进行检查时,发现了三十六(24%)例。腹部缩窄18例(12%)。 9例(6%)病例发现多发缩窄。体重超过15 kg的6例(4%)进行了两次球囊血管成形术,而12例(8%)的患者在再狭窄后进行了支架置入术。一例(0.66%)观察到动脉瘤和主动脉夹层。血栓性静脉炎3例(2%),暂时性脉搏丢失9例(6%)。结论:在合适的情况下,球囊血管成形术可用于主动脉缩窄并置入支架是治疗主动脉缩窄的一种安全有效的措施。 j。 2017; 10(1):56-62

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