{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:11:03Z","timestamp":1787497863485,"version":"build-2736575974"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2007,2,26]],"date-time":"2007-02-26T00:00:00Z","timestamp":1172448000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:p>\n                    <jats:italic>Background:<\/jats:italic>\n                    Stenting for aortic coarctation has been shown to be effective in the short term. The safety and longer term efficacy of transcatheter therapy, however, must be well established if the technique is to be widely accepted as an alternative to surgery. In order to determine the frequency, spectrum, and outcome of injury to the aortic wall caused by angioplasty or stenting of aortic coarctation, the nomenclature of mural injury in these patients must be adapted to the conditions of transcatheter therapy.\n                    <jats:italic>Methods and Results:<\/jats:italic>\n                    Between 1989 and July 2005, we inserted stents in 153 patients with aortic coarctation, their median age being 15.8 years. Prior aortic interventions had been performed in 98 patients, and preexisting aneurysms were observed in 19. Stenting resulted in a significant reduction of the gradient across the site of coarctation, from a median of 30 millimetres of mercury to zero (p less than 0.001), with a residual gradient within the aortic arch of 20 millimetres of mercury or more in 5% of patients. Acute injuries to the aortic wall, other than therapeutic tears, were observed in 3 patients (2%), none of whom required surgery. At median follow-up of 2.5 years, this being more than 5 years in 30 patients, 4 patients had died, albeit none from complications relating to stenting or catheterization. Acute injuries to the aortic wall did not progress, and new aneurysms were observed in 6% of patients subsequent to follow-up imaging. Stent fractures, and jailed or partially covered brachiocephalic vessels, were observed in 12, and 49, patients, respectively, but did not result in haemodynamic or embolic complications.\n                    <jats:italic>Conclusions:<\/jats:italic>\n                    Stenting for aortic coarctation results in consistent relief of the gradient, and few serious complications in the short and intermediate term. Serious injuries to the aortic wall are uncommon in our experience, and can be minimized with a focus on technical measures, such as pre-dilation before stenting.\n                  <\/jats:p>","DOI":"10.1017\/s1047951107000339","type":"journal-article","created":{"date-parts":[[2007,2,26]],"date-time":"2007-02-26T03:50:12Z","timestamp":1172461812000},"page":"307-318","source":"Crossref","is-referenced-by-count":96,"title":["Acute and intermediate outcomes, and evaluation of injury to the aortic wall, as based on 15 years experience of implanting stents to treat aortic coarctation"],"prefix":"10.1017","volume":"17","author":[{"given":"Athar M.","family":"Qureshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doff B.","family":"McElhinney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Lock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Landzberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey C.","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,2,26]]},"reference":[{"key":"S1047951107000339_ref029","doi-asserted-by":"crossref","unstructured":"Scheinert D , Scheinert S , Sax J , et al. Prevalence and clinical impact of stent fractures after femoropopliteal stenting. J Am Coll Cardiol 2005; 45: 312\u2013315.","DOI":"10.1016\/j.jacc.2004.11.026"},{"key":"S1047951107000339_ref003","doi-asserted-by":"crossref","unstructured":"Pedra CA , Fontes VF , Esteves CA , et al. Stenting vs. balloon angioplasty for discrete unoperated coarctation of the aorta in adolescents and adults. Catheter Cardiovasc Interv 2005; 64: 495\u2013506.","DOI":"10.1002\/ccd.20311"},{"key":"S1047951107000339_ref022","doi-asserted-by":"crossref","unstructured":"Varma C , Benson LN , Butany J , McLaughlin PR . Aortic dissection after stent dilatation for coarctation of the aorta: a case report and literature review. Catheter Cardiovasc Interv 2003; 59: 528\u2013535.","DOI":"10.1002\/ccd.10548"},{"key":"S1047951107000339_ref021","doi-asserted-by":"crossref","unstructured":"Korkola SJ , Tchervenkov CI , Shum-Tim D , Roy N . Aortic rupture after stenting of a native coarctation in an adult. Ann Thorac Surg 2002; 74: 936.","DOI":"10.1016\/S0003-4975(01)03160-5"},{"key":"S1047951107000339_ref001","doi-asserted-by":"crossref","unstructured":"O'Laughlin MP , Perry SB , Lock JE , Mullins CE . Use of endo- vascular stents in congenital heart disease. Circulation 1991; 83: 1923\u20131939.","DOI":"10.1161\/01.CIR.83.6.1923"},{"key":"S1047951107000339_ref025","doi-asserted-by":"crossref","unstructured":"Ovaert C , McCrindle BW , Nykanen D , MacDonald C , Freedom RM , Benson LN . Balloon angioplasty of native coarctation: clinical outcomes and predictors of success. J Am Coll Cardiol 2000; 35: 988\u2013996.","DOI":"10.1016\/S0735-1097(99)00646-4"},{"key":"S1047951107000339_ref013","doi-asserted-by":"crossref","unstructured":"Thanopoulos BD , Hadjinikolaou L , Konstadopoulou GN , Tsaousis GS , Triposkiadis F , Spirou P . Stent treatment for coarctation of the aorta: intermediate term follow up and technical considerations. Heart 2000; 84: 65\u201370.","DOI":"10.1136\/heart.84.1.65"},{"key":"S1047951107000339_ref008","doi-asserted-by":"crossref","unstructured":"Harrison DA , McLaughlin PR , Lazzam C , Connelly M , Benson LN . Endovascular stents in the management of coarctation of the aorta in the adolescent and adult: one year follow up. Heart 2001; 85: 561\u2013566.","DOI":"10.1136\/heart.85.5.561"},{"key":"S1047951107000339_ref020","doi-asserted-by":"crossref","unstructured":"Siwik ES , Perry SB , Lock JE . Endovascular stent implantation in patients with stenotic aortoarteriopathies: early and medium-term results. Catheter Cardiovasc Interv 2003; 59: 380\u2013386.","DOI":"10.1002\/ccd.10546"},{"key":"S1047951107000339_ref006","doi-asserted-by":"crossref","unstructured":"Tyagi S , Singh S , Mukhopadhyay S , Kaul UA . Self- and balloon-expandable stent implantation for severe native coarctation of aorta in adults. 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J Invasive Cardiol 2003; 15: 719\u2013721."}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951107000339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T18:10:56Z","timestamp":1556734256000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951107000339\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2,26]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["S1047951107000339"],"URL":"https:\/\/doi.org\/10.1017\/s1047951107000339","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,2,26]]}}}