Abstract
Recanalization of a complete coarctation with isthmus occlusion was successfully accomplished in a 16-year-old patient using radiofrequency. This allowed the insertion and deployment of a covered stent to reestablish flow continuity across the isthmus. No complications were encountered. To the authors’ knowledge this is the first case of radiofrequency use for complete coarctation, and among the rare cases of complete coarctation addressed primarily percutaneously to be reported.
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Chessa M, Carrozza M, Butera G, Piazza L, Negura DG, Bussadori E, Giamberti A, Carminati (2005) Results and mid-long-term follow-up of stent implantation for native and recurrent coarctation of the aorta. Eur Heart J 26:2728–2732
Harrison DA, McLaughlin PR, Lazzam C, Connelly M, Benson LN (2001) Endovascular stents in the management of coarctation of the aorta in the adolescent and adult: one-year follow-up. Heart 85:561–566
Hill SL, Mizelle KM, Vellucci SM, Feltes TF, Cheatham JP (2005) Radiofrequency perforation and cutting balloon septoplasty of intact atrial septum in a newborn with hypoplastic left heart syndrome using transesophageal ICE probe guidance. Cathet Cardiovasc Intervent 64:214–217
Joseph G, Mandalay A, Rajendiran G (2001) Percutaneous recanalization and balloon angioplasty of congenital isolated local atresia of the aortic isthmus in adults. Cathet Cardiovasc Intervent 53:535–541
Mahadevan V, Vondermuhll I, Mullen MJ (2006) Endovascular aortic coarctation stenting in adolescents and adults: angiographic and hemodynamic outcomes. Cathet Cardiovasc Intervent 67:268–275
Redington AN, Cullen S, Rigby MC (1997) Laser or radiofrequency pulmonary valvotomy in neonates with pulmonary atresia with intact ventricular septum using a commercially available radiofrequency catheter. Pediatr Cardiol 18:61–63
Rodés-Cabau J, Miró J, Dancea A, Ibrahim R, Piette E, Lapierre C, Jutras L, Dahdah NS, Houde C (2005) Comparison of surgical and transcatheter treatment for native coarctation of the aorta in patients 1 year old (abstract). The Quebec Native Aortic Coarctation Study. American Heart Association Scientific Session, November 2005. Circulation 112(Suppl II):2–649 and Am Heart J (2007) In Press
Santoro G, Russo MG, Calabrò R (2006) Stent angioplasty in aortic arch interruption. Heart 92:1570
Shaddy RE, Boucek MM, Sturtevant JE, Ruttenberg HD, Jaffe RB, Tani LY, Judd VE, Veasy G, McGough EC, Orsmond GS (1993) Comparison of angioplasty and surgery for unoperated coarctation of the aorta. Circulation 87:793–799
Sherman W, Lee P, Hartley A, Love B (2005) Transatrial septal catheterization using a new radiofrequency probe. Catheter Cardiovasc Interv 66:14–17
Suárez de Lezo J, Pan M, Romero M, Medina A, Segura J, Lafuente M, Pavlovic D, Hernández E, Melián F, Espada J (1999) Immediate and follow-up findings after stent treatment for severe coarctation of aorta. Am J Cardiol 83:400–406
Veldtman GR, Hartley A, Visram N, Benson LN (2004) Radiofrequency applications in congenital heart disease. Expert Rev Cardiovsc Ther 2:117–126
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Almashham, Y., Dahdah, N. & Miro, J. Use of Radiofrequency Then Stent Implantation for Recanalization of Complete Aorta Coarctation. Pediatr Cardiol 29, 207–209 (2008). https://doi.org/10.1007/s00246-007-9090-2
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DOI: https://doi.org/10.1007/s00246-007-9090-2