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Partially uncovered Cheatham platinum-covered stent to treat complex aortic coarctation associated with aortic wall aneurysm

Published online by Cambridge University Press:  09 June 2014

Gianfranco Butera  and
Luciane Piazza
Gianfranco Butera*
Affiliation:
Department of Pediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Italy
Luciane Piazza
Affiliation:
Department of Pediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Italy
*
Correspondence to: Dr G. Butera, MD, PhD, FSCAI, Paediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Via Morandi 30, 20097 San Donato Milanese, Italy. Tel: +390252774328; Fax: +390252774459; E-mail: gianfra.but@lycos.com
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Abstract

Percutaneous treatment of aortic coarctation is a widely used option. Covered stents have increased the profile of efficacy and safety of this procedure. Here we report on a 32-year-old woman with significant aortic recoarctation associated with aortic wall aneurysm and close proximity of both lesions to the origin of both the subclavian arteries.

It was decided to manually and partially uncover the proximal part of the stent to have a hybrid stent that could act as a bare stent at the level of the origin of the subclavian arteries and as a covered stent at the level of the aneurysm.

Keywords

Aortic coarctationstenttreatment
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 4 , April 2015 , pp. 790 - 793
Copyright
© Cambridge University Press 2014 

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References

1. Butera, G, Piazza, L, Chessa, M, et al. Covered stents in patients with complex aortic coarctations. Am J Cardiol 2007; 154: 795–800.Google Scholar
2. Pedra, CA, Fontes, VF, Esteves, CA, et al. Use of covered stents in the management of coarctation of the aorta. Pediatr Cardiol 2004; 26: 431–439.Google Scholar
3. Tanous, D, Collins, N, Dehghani, P, Benson, LN, Horlick, EM. Covered stents in the management of coarctation of the aorta in the adult: initial results and 1-year angiographic and hemodynamic follow-up. Int J Cardiol 2010; 140: 287–295.Google Scholar
4. Ewert, P, Abdul-Khaliq, H, Peters, B, Nagdyman, N, Schubert, S, Lange, PE. Transcatheter therapy of long extreme subatretic aortic coarctations with covered stents. Catheter Cardiovasc Interv 2004; 63: 236–239.Google Scholar
5. Butera, G, Heles, M, Carminati, M. Percutaneous treatment of aortic isthmus atresia: use of radiofrequency perforation and covered stents. Catheter Cardiovasc Interv 2011; 78: 933–939.CrossRefGoogle ScholarPubMed
6. Tzifa, A, Ewert, P, Brzezinska-Rajszys, G, et al. Covered Cheatham-platinum stents for aortic coarctation: early and intermediate-term results. J Am Coll Cardiol 2006; 47: 1457–1463.Google Scholar
7. Butera, G, Heles, M, MacDonald, S, Carminati, M. Aortic coarctation complicated by wall aneurysm: the role of covered stents. Catheter Cardiovasc Interv 2011; 78: 926–932.Google Scholar
8. Butera, G, Marini, D, Carminati, M. In-stent restenosis and aneurysm development after bare stent implantation: rescue by e-PTFE covered Cheatham-platinum stent. J Inv Cardiol 2010; 22: E209–E212.Google Scholar
9. Tsai, SF, Hill, SL, Cheatham, JP. Treatment of aortic arch aneurysm with a NuMED-covered stent and restoration of flow to excluded left subclavian artery: perforation and dilation of e-PTFE can be done!. Catheter Cardiovasc Interv 2009; 73: 385–389.Google Scholar