Key result
Stented repair of primary aortic coarctation in adolescents and adults resulted in lower 12-year freedom from reintervention compared to grafted repair (69% vs 97%, P=0.003).
Why the study?
Optimal management of primary aortic coarctation in adolescents and adults remains controversial.
Does the strategy for primary aortic coarctation repair (stented vs grafted) affect freedom from reintervention and survival in adolescents and adults?
Cohort (n=110)
No
Does the strategy for primary aortic coarctation repair (stented vs grafted) affect freedom from reintervention and survival in adolescents and adults?
Absolute Event Rate: 69% vs 97%
p-value: p=0.003
In adolescents and adults undergoing primary aortic coarctation repair, stented repair has a higher rate of reintervention at 12 years compared to grafted repair, primarily due to in-stent restenosis of bare metal stents.
No takes yet. Share an insight, caveat, or question.
Stented repair was associated with more reinterventions than grafted repair at 12 years; leaves open optimal strategy for primary aortic coarctation in adolescents and adults.
Thompson et al. (2024) conducted a cohort in Primary aortic coarctation (n=110). Stented repair vs. Grafted repair was evaluated on 12-year freedom from reintervention (p=0.003). Stented repair of primary aortic coarctation in adolescents and adults resulted in lower 12-year freedom from reintervention compared to grafted repair (69% vs 97%, P=0.003).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: