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Initial experience with a novel ePTFE-covered balloon expandable stent in patients with near-atretic or severe aortic coarctation and small femoral arterial access

Published online by Cambridge University Press:  11 November 2020

Asim Al Balushi ,
Emma Pascall ,
Matthew I. Jones ,
Shakeel Qureshi Open the ORCID record for Shakeel Qureshi [Opens in a new window]  and
Gianfranco Butera Open the ORCID record for Gianfranco Butera [Opens in a new window]
Asim Al Balushi
Affiliation:
Department of Congenital Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, London, UK
Emma Pascall
Affiliation:
Department of Congenital Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, London, UK
Matthew I. Jones
Affiliation:
Department of Congenital Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, London, UK
Shakeel Qureshi
Affiliation:
Department of Congenital Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, London, UK
Gianfranco Butera*
Affiliation:
Department of Congenital Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, London, UK School of Biomedical Engineering and Imaging Sciences, Kings College, London, UK
*
Author for correspondence: Gianfranco Butera, Department of Paediatric Cardiology, Evelina London Children’s Hospital, Guy’s & St Thomas’ NHS Foundation Trust, Westminster, Bridge Rd, St Thomas’ Hospital, London SE1 7EH, UK. Tel: +44 7917172581. E-mail: gianfrancobutera@libero.it
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Abstract

Objectives:

We report our experience of using the Bentley BeGraft Aortic stent in patients with severe or near-atretic aortic coarctation and small femoral arterial access.

Background:

Use of covered stent is recommended in some settings such as aortic coarctation with associated aneurysm, Turner syndrome, and coarctation with aortic atresia. However, currently available covered stents need larger sheaths that may limit their use in children and patients with smaller arterial access. Newer stents may overcome this limitation.

Methods:

Single-centre retrospective study of patients with severe or near-atretic aortic coarctation and small femoral arterial access.

Results:

Between July and October, 2019, five patients (median age 15 years) with near-atretic or severe coarctation were treated with a Bentley BeGraft Aortic stent. Long sheaths between 9 and 11 Fr were used to implant stents, which were dilated up to 12–16 mm. None of the patients had residual coarctation (gradient >20 mm of mercury) after stenting. None of the patients developed acute vascular injuries or local access related complications at the end of the procedure or during follow-up (range 6–10 months).

Conclusions:

Bentley BeGraft aortic stents are important to consider in patients with severe coarctation and provided acute procedural success in patients with small femoral arterial access and widen the applicability in this patient population.

Keywords

congenital heart diseasepercutaneousaortic coarctationcovered stent
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 2 , February 2021 , pp. 224 - 228
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Asim Al Balushi and Emma Pascall equally contributed to the paper.

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