{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:41:05Z","timestamp":1791308465858,"version":"4.3.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,7,13]],"date-time":"2007-07-13T00:00:00Z","timestamp":1184284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Background:<\/jats:styled-content> We report a multi\u2010institutional experience with intravascular stenting (IS) for treatment of coarctation of the aorta. <jats:styled-content>Methods and Results:<\/jats:styled-content> Data was collected retrospectively by review of medical records from 17 institutions. The data was broken down to prior to 2002 and after 2002 for further analysis. A total of 565 procedures were performed with a median age of 15 years (mean = 18.1 years). Successful reduction in the post stent gradient (&lt;20 mm Hg) or increase in post stent coarctation to descending aorta (DAo) ratio of &gt;0.8 was achieved in 97.9% of procedures. There was significant improvement (<jats:italic>P<\/jats:italic> &lt; 0.01) in pre versus post stent coarctation dimensions (7.4 mm \u00b1 3.0 mm vs. 14.3 \u00b1 3.2mm), systolic gradient (31.6 mm Hg \u00b1 16.0 mm Hg vs. 2.7 mm Hg \u00b1 4.2 mm Hg) and ratio of the coarctation segment to the DAo (0.43 \u00b1 0.17 vs. 0.85 \u00b1 0.15). Acute complications were encountered in 81\/565 (14.3%) procedures. There were two procedure related deaths. Aortic wall complications included: aneurysm formation (<jats:italic>n<\/jats:italic> = 6), intimal tears (<jats:italic>n<\/jats:italic> = 8), and dissections (<jats:italic>n<\/jats:italic> = 9). The risk of aortic dissection increased significantly in patients over the age of 40 years. Technical complications included stent migration (<jats:italic>n<\/jats:italic> = 28), and balloon rupture (<jats:italic>n<\/jats:italic> = 13). Peripheral vascular complications included cerebral vascular accidents (CVA) (<jats:italic>n<\/jats:italic> = 4), peripheral emboli (<jats:italic>n<\/jats:italic> = 1), and significant access arterial injury (<jats:italic>n<\/jats:italic> = 13). Older age was significantly associated with occurrence of CVAs. A significant decrease in the technical complication rate from 16.3% to 6.1% (<jats:italic>P<\/jats:italic> &lt; 0.001) was observed in procedures performed after January 2002. <jats:styled-content>Conclusions:<\/jats:styled-content> Stent placement for coarctation of aorta is an effective treatment option, though it remains a technically challenging procedure. Technical and aortic complications have decreased over the past 3 years due to, in part, improvement in balloon and stent design. Improvement in our ability to assess aortic wall compliance is essential prior to placement of ISs in older patients with coarctation of the aorta. \u00a9 2007 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.21164","type":"journal-article","created":{"date-parts":[[2007,7,13]],"date-time":"2007-07-13T21:49:42Z","timestamp":1184363382000},"page":"276-285","source":"Crossref","is-referenced-by-count":172,"title":["Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: A multi\u2010institutional study"],"prefix":"10.1002","volume":"70","author":[{"given":"Thomas J.","family":"Forbes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Garekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahid","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan M.","family":"Zahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Nykanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakeel A.","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Cheatham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makram R.","family":"Ebeid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyad M.","family":"Hijazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satinder","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald J.","family":"Hagler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst","family":"Sievert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas E.","family":"Fagan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Ringewald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liwen","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F.","family":"Wax","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Rhodes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy A.","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas K.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R.","family":"Turner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos A.C.","family":"Pedra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Hellenbrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,7,16]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"347","article-title":"Congenital coarctation of the aorta and its surgical management","volume":"14","author":"Crafoord C","year":"1945","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01572-8"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.2.605"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(97)70194-7"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(95)90408-5"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00408-7"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.85.5.561"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2000.106616"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00877-7"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20071"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1249"},{"key":"e_1_2_7_13_2","first-page":"614","article-title":"Use of endovascular stents fro the treatment of coarctation of the aorta in children and adults: Intermediate and midterm results","volume":"11","author":"Shah L","year":"2005","journal-title":"J Invas Cardiol"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20311"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-004-0814-2"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(89)90557-3"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(92)90296-F"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(92)90936-P"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(05)80101-2"},{"key":"e_1_2_7_20_2","first-page":"673","article-title":"Follow\u2010up results of balloon angioplasty for native aortic coarctation of aorta","volume":"48","author":"Biswas PK","year":"1996","journal-title":"Indian Heart J"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03160-5"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10548"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi491"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951105001447"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.2000.278.5.H1411"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003677-200304000-00003"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.1993.73.4.725"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013797722156"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.21164","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.21164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T10:40:17Z","timestamp":1700044817000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.21164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,16]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["10.1002\/ccd.21164"],"URL":"https:\/\/doi.org\/10.1002\/ccd.21164","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,16]]}}}