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首页> 外文期刊>Annals of Pediatric Cardiology >Coarctation of aorta intervention: When covered stents should have been first choice?
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Coarctation of aorta intervention: When covered stents should have been first choice?

机译：Aorta干预的典格：当被覆盖的支架应该是首选时？

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Coarctation of aorta (CoA) is one of the common congenital heart diseases. The two approaches for intervention in CoA include surgical and transcatheter (TC). Out of the two TC interventions available, stenting has been proved better than balloon angioplasty. We have two types of stents; the conventional ones – balloon expandable and the covered stent grafts. The elective covered stent implantation in all CoA has not offered any advantage. However, there are peculiar situations, apart from acute aortic complications, when they should be considered the first choice. We describe our experience of three cases of coarctation stenting, in which covered stenting should have been the preferred choice. A 32-year-old female with Turner's syndrome and severe CoA developed dissection after balloon angioplasty which was successfully managed with a covered stent. A 27-year-old female with near atresia of aorta was managed with balloon expandable stent which remained underexpanded despite post dilatation. A 17-year-old girl with severe CoA and patent ductus arteriosus (PDA) was managed with balloon angioplasty for the CoA and Amplatzer Duct Occluder I for the PDA. However, she developed re-coarctation in 6 months which was managed with a covered stent. Not all CoA requires the covered stents, but there are certain “high risk” CoA which require covered stent as first choice.
机译：主动脉（COA）的剪枝是常见的先天性心脏病之一。干预COA的两种方法包括外科和经转截管（TC）。除了可用的两种TC干预措施中，突破比气囊血管成形术更好。我们有两种类型的支架;传统的常规 - 气球可膨胀和覆盖的支架移植物。所有COA中的选修支架植入尚未提供任何优势。然而，除了急性主动脉复杂性的情况下，存在特殊情况，当他们应该被认为是第一选择时。我们描述了我们三种剪辑支架案例的经验，其中覆盖的支架应该是首选。一个32岁的女性具有特纳综合征和严重的COA在球囊血管成形术后开发了解剖，该血管成形术后用盖支架成功管理。一个27岁的女性与Aorta附近的Aorta附近的女性用气球可扩展支架进行管理，尽管膨胀后，仍然存在Underexpand。一个17岁的患有严重的COA和专利导管（PDA）的女孩（PDA）与球囊血管成形术进行管理，用于COA和Amplatzer管道封闭剂I用于PDA。然而，她在6个月内开发了重新造成的，该支架与覆盖的支架进行了管理。并非所有COA都需要覆盖的支架，但有一些“高风险”COA，需要覆盖支架作为首选。

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