Safety and Efficacy of Aortic Coarctation Stenting in Children and Adolescents
Author Information
Author(s): Biagio Castaldi, Elena Ciarmoli, Angela Di Candia, Domenico Sirico, Giuseppe Tarantini, Fabio Scattolin, Massimo Padalino, Vladimiro Vida, Giovanni Di Salvo
Primary Institution: University of Padua
Hypothesis
The study aims to analyze the safety and mid-term outcomes of aortic coarctation stenting in pediatric patients at different weights.
Conclusion
Aortic coarctation stenting is a safe procedure in patients weighing less than 30 kg.
Supporting Evidence
- The procedure was effective in all patients, with a significant drop in aortic gradient.
- Surgical cut-down may reduce vascular complications in smaller patients.
- Major vascular complications occurred in 10.6% of patients, with a trend towards higher complications in those under 25 kg.
Takeaway
Doctors can safely use stents to treat aortic coarctation in kids who weigh less than 30 kg, especially if they use a special surgical method to avoid hurting the blood vessels.
Methodology
The study retrospectively analyzed 47 pediatric patients who underwent percutaneous stent implantation for aortic coarctation from 2012 to 2019.
Potential Biases
The selection of stents was not standardized and depended on the cath lab team's discretion.
Limitations
The retrospective nature of the study and lack of a control group limit the findings.
Participant Demographics
Mean age was 12.2 years, with 21% on anti-hypertensive therapy; 73% had a bicuspid aortic valve.
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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