Key result
Primary implantation of stents for aortic recoarctation significantly reduced the mean gradient from 27 to 4 mmHg (p<0.001) and resting systolic blood pressure from 140 to 131 mmHg (p=0.04).
Why the study?
Does primary implantation of stents improve systemic hypertension and vascular properties in patients with aortic recoarctation?
Population
15 patients with aortic recoarctation, median age 17 years, median weight 56 kg. Indications included a…
Design
Case_series
Follow-up
mean 22 months
Authors
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Stent implantation may aid gradient reduction in recoarctation; leaves open durable hypertension control and vascular effects.
Observational (n=15)
Does primary implantation of stents improve systemic hypertension and vascular properties in patients with aortic recoarctation?
Absolute Event Rate: 4% vs 27%
p-value: p=< 0.001
Stent implantation for aortic recoarctation significantly reduces the pressure gradient, resting and exercise systolic blood pressure, and intimal medial thickness at mid-term follow-up, though hypertension may not completely resolve.
Agnoletti et al. (2005) conducted an observational in Aortic recoarctation (n=15). Primary implantation of stents vs. Baseline (before implantation) was evaluated on Mean gradient (p=< 0.001). Primary implantation of stents for aortic recoarctation significantly reduced the mean gradient from 27 to 4 mmHg (p<0.001) and resting systolic blood pressure from 140 to 131 mmHg (p=0.04).
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