Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 1, 1982CirculationOpen Access

Transcutaneous angioplasty of experimental aortic coarctation.

View Full Paper
Ask AI
Bookmark
Share

Key result

Transcutaneous balloon dilation angioplasty produced an immediate 65% increase in coarctation diameter and a 68% decrease in systolic gradient, which persisted for up to 1 year.

Why the study?

Does transcutaneous balloon dilation angioplasty reduce the systolic gradient in an experimental lamb model of aortic coarctation?

Population

17 long-term survivor lambs with surgically created juxtaductal aortic coarctation

Comparison

Transcutaneous balloon dilation angioplasty with… vs Undilated control lambs (n=4)

Design

Preclinical

Follow-up

up to 1 year

Authors

JLJames E. LockTNTomi NiemiBBBarbara A. Burke

Discussion

Loading...

Member takes

Overview

Supports feasibility in lamb coarctation model; leaves open translation to human coarctation pending clinical trials.

Structured PICO

Does transcutaneous balloon dilation angioplasty reduce the systolic gradient in an experimental lamb model of aortic coarctation?

P
Population
17 long-term survivor lambs with surgically created aortic coarctation, followed for up to 1 year after transcutaneous balloon dilation angioplasty.
I
Intervention
Transcutaneous balloon dilation angioplasty with polyvinylchloride or polyethylene catheters using high pressures (6-8 atmospheres)
C
Comparator
Undilated control lambs (n=4)
O
Outcome
Change in systolic gradient across the coarctation and diameter of the coarctationsurrogate

Transcutaneous balloon angioplasty successfully and durably reduced the systolic gradient in an experimental lamb model of aortic coarctation, supporting its potential feasibility in humans.

Limitations

  • The safe limits and optimal protocols for dilating human coarctations are not known.

Cite This Study

Lock et al. (1982) studied Experimental aortic coarctation (n=17). Transcutaneous balloon dilation angioplasty vs. Undilated controls was evaluated on Systolic gradient across the coarctation site and diameter of the coarctation. Transcutaneous balloon dilation angioplasty produced an immediate 65% increase in coarctation diameter and a 68% decrease in systolic gradient, which persisted for up to 1 year.

synapsesocial.com/papers/6a92f78f14869e32be2c5ee6https://doi.org/10.1161/01.cir.66.6.1280
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nonoperative Dilatation of Coronary-Artery Stenosis1979 · 2,424 citations
  2. 2Morphologic development of the pulmonary vascular bed in experimental coarctation of the aorta.1979 · 20 citations
  3. 3Transvenous angioplasty of experimental branch pulmonary artery stenosis in newborn lambs.1981 · 119 citations
  4. 4Technique of percutaneous transluminal angioplasty with the Gruntzig ballon catheter1979 · 263 citations