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The role of stents in the treatment of congenital heart disease: Current status and future perspectives

Intravascular or intracardiac stenoses occur in many forms of congenital heart disease (CHD). Therefore, the implantation of stents has become an accepted interventional procedure for stenotic lesions in pediatric cardiology. Furthermore, stents are know to be used to exclude vessel aneurysm or to e...

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Detalles Bibliográficos
Autores principales: Peters, Bjoern, Ewert, Peter, Berger, Felix
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840765/
https://www.ncbi.nlm.nih.gov/pubmed/20300265
http://dx.doi.org/10.4103/0974-2069.52802
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author Peters, Bjoern
Ewert, Peter
Berger, Felix
author_facet Peters, Bjoern
Ewert, Peter
Berger, Felix
author_sort Peters, Bjoern
collection PubMed
description Intravascular or intracardiac stenoses occur in many forms of congenital heart disease (CHD). Therefore, the implantation of stents has become an accepted interventional procedure for stenotic lesions in pediatric cardiology. Furthermore, stents are know to be used to exclude vessel aneurysm or to ensure patency of existing or newly created intracardiac communications. With the further refinement of the first generation of devices, a variety of “modern” stents with different design characteristics have evolved. Despite the tremendous technical improvement over the last 20 years, the “ideal stent” has not yet been developed. Therefore, the pediatric interventionalist has to decide which stent is suitable for each lesion. On this basis, currently available stents are discussed in regard to their advantages and disadvantages for common application in CHD. New concepts and designs developed to overcome some of the existing problems, like the failure of adaptation to somatic growth, are presented. Thus, in the future, biodegradable or growth stents might replace the currently used generation of stents. This might truly lead to widening indications for the use of stents in the treatment of CHD.
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spelling pubmed-28407652010-03-18 The role of stents in the treatment of congenital heart disease: Current status and future perspectives Peters, Bjoern Ewert, Peter Berger, Felix Ann Pediatr Cardiol State-of-the-Art-Paper Intravascular or intracardiac stenoses occur in many forms of congenital heart disease (CHD). Therefore, the implantation of stents has become an accepted interventional procedure for stenotic lesions in pediatric cardiology. Furthermore, stents are know to be used to exclude vessel aneurysm or to ensure patency of existing or newly created intracardiac communications. With the further refinement of the first generation of devices, a variety of “modern” stents with different design characteristics have evolved. Despite the tremendous technical improvement over the last 20 years, the “ideal stent” has not yet been developed. Therefore, the pediatric interventionalist has to decide which stent is suitable for each lesion. On this basis, currently available stents are discussed in regard to their advantages and disadvantages for common application in CHD. New concepts and designs developed to overcome some of the existing problems, like the failure of adaptation to somatic growth, are presented. Thus, in the future, biodegradable or growth stents might replace the currently used generation of stents. This might truly lead to widening indications for the use of stents in the treatment of CHD. Medknow Publications 2009 /pmc/articles/PMC2840765/ /pubmed/20300265 http://dx.doi.org/10.4103/0974-2069.52802 Text en © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle State-of-the-Art-Paper
Peters, Bjoern
Ewert, Peter
Berger, Felix
The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title_full The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title_fullStr The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title_full_unstemmed The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title_short The role of stents in the treatment of congenital heart disease: Current status and future perspectives
title_sort role of stents in the treatment of congenital heart disease: current status and future perspectives
topic State-of-the-Art-Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840765/
https://www.ncbi.nlm.nih.gov/pubmed/20300265
http://dx.doi.org/10.4103/0974-2069.52802
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