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Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation

OBJECTIVE: Coarctation of the Aorta (CoA) is a relatively common cardiovascular disorder. The present study aimed to evaluate the effect of COA anatomy and high versus low-pressure balloons on the outcome of balloon angioplasty among neonates and infants. METHODS: In this retrospective study, the ne...

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Autores principales: Amoozgar, Hamid, Nouri, Narjes, Shabanpourhaghighi, Sajad, Bagherian, Neda, Mehdizadegan, Nima, Edraki, Mohammad Reza, Naghshzan, Amir, Mohammadi, Hamid, Ajami, Gholamhossein, Abdollahi, Ashkan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672566/
https://www.ncbi.nlm.nih.gov/pubmed/34911460
http://dx.doi.org/10.1186/s12872-021-02396-6
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author Amoozgar, Hamid
Nouri, Narjes
Shabanpourhaghighi, Sajad
Bagherian, Neda
Mehdizadegan, Nima
Edraki, Mohammad Reza
Naghshzan, Amir
Mohammadi, Hamid
Ajami, Gholamhossein
Abdollahi, Ashkan
author_facet Amoozgar, Hamid
Nouri, Narjes
Shabanpourhaghighi, Sajad
Bagherian, Neda
Mehdizadegan, Nima
Edraki, Mohammad Reza
Naghshzan, Amir
Mohammadi, Hamid
Ajami, Gholamhossein
Abdollahi, Ashkan
author_sort Amoozgar, Hamid
collection PubMed
description OBJECTIVE: Coarctation of the Aorta (CoA) is a relatively common cardiovascular disorder. The present study aimed to evaluate the effect of COA anatomy and high versus low-pressure balloons on the outcome of balloon angioplasty among neonates and infants. METHODS: In this retrospective study, the neonates and infants undergoing balloon angioplasty at Namazi hospital were enrolled. After balloon angioplasty, immediate data results were promptly recorded.Moreover, midterm echocardiographic information was collected via electronic cardiac records of pediatric wards and clinical and echocardiographic data at least 12 months after balloon angioplasty. Finally, data were analyzed using SPSS-20. RESULTS: In this study, 42 infants were included. The median age at the time of balloon angioplasty was 1.55 (range 0.1–12) months and 66.7% of the patients were male. The mean pressure gradient of coarctation was 38.49 ± 24.97 mmHg, which decreased to 7.61 ± 8.00 mmHg (P < 0.001). A high-pressure balloon was used in 27, and a low-pressure balloon was used in 15 patients. COA's pressure gradient changed 30.89 ± 18.06 in the high-pressure group and 24.53 ± 20.79 in the low-pressure balloon group (P = 0.282). In the high-pressure balloon group, 14.81% and in the low-pressure group, 33.33% had recoarctation and need second balloon angioplasty (p < 0.021). The infant with discrete coarctation had a higher decrease in gradient and lower recoarctation. CONCLUSION: Recoarctation rate was lower in the high-pressure balloon. The infant with discrete COA had a better response to the balloon with more decrease in gradient and lower recoarctation rate. Therefore, the stenotic segment anatomy needs to be considered in the selection of treatment methods.
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spelling pubmed-86725662021-12-15 Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation Amoozgar, Hamid Nouri, Narjes Shabanpourhaghighi, Sajad Bagherian, Neda Mehdizadegan, Nima Edraki, Mohammad Reza Naghshzan, Amir Mohammadi, Hamid Ajami, Gholamhossein Abdollahi, Ashkan BMC Cardiovasc Disord Research OBJECTIVE: Coarctation of the Aorta (CoA) is a relatively common cardiovascular disorder. The present study aimed to evaluate the effect of COA anatomy and high versus low-pressure balloons on the outcome of balloon angioplasty among neonates and infants. METHODS: In this retrospective study, the neonates and infants undergoing balloon angioplasty at Namazi hospital were enrolled. After balloon angioplasty, immediate data results were promptly recorded.Moreover, midterm echocardiographic information was collected via electronic cardiac records of pediatric wards and clinical and echocardiographic data at least 12 months after balloon angioplasty. Finally, data were analyzed using SPSS-20. RESULTS: In this study, 42 infants were included. The median age at the time of balloon angioplasty was 1.55 (range 0.1–12) months and 66.7% of the patients were male. The mean pressure gradient of coarctation was 38.49 ± 24.97 mmHg, which decreased to 7.61 ± 8.00 mmHg (P < 0.001). A high-pressure balloon was used in 27, and a low-pressure balloon was used in 15 patients. COA's pressure gradient changed 30.89 ± 18.06 in the high-pressure group and 24.53 ± 20.79 in the low-pressure balloon group (P = 0.282). In the high-pressure balloon group, 14.81% and in the low-pressure group, 33.33% had recoarctation and need second balloon angioplasty (p < 0.021). The infant with discrete coarctation had a higher decrease in gradient and lower recoarctation. CONCLUSION: Recoarctation rate was lower in the high-pressure balloon. The infant with discrete COA had a better response to the balloon with more decrease in gradient and lower recoarctation rate. Therefore, the stenotic segment anatomy needs to be considered in the selection of treatment methods. BioMed Central 2021-12-15 /pmc/articles/PMC8672566/ /pubmed/34911460 http://dx.doi.org/10.1186/s12872-021-02396-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Amoozgar, Hamid
Nouri, Narjes
Shabanpourhaghighi, Sajad
Bagherian, Neda
Mehdizadegan, Nima
Edraki, Mohammad Reza
Naghshzan, Amir
Mohammadi, Hamid
Ajami, Gholamhossein
Abdollahi, Ashkan
Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title_full Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title_fullStr Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title_full_unstemmed Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title_short Effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
title_sort effect of coarctation of aorta anatomy and balloon profile on the outcome of balloon angioplasty in infantile coarctation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672566/
https://www.ncbi.nlm.nih.gov/pubmed/34911460
http://dx.doi.org/10.1186/s12872-021-02396-6
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