Skip to main content
PMC home page
British Heart Journal logoLink to British Heart Journal
. 1994 Oct;72(4):378–383. doi: 10.1136/hrt.72.4.378

Self expanding stents in congenital heart disease.

A N Redington 1, J Weil 1, J Somerville 1
PMCID: PMC1025551  PMID: 7833198

Abstract

OBJECTIVES--To show potential indications for and clinical use of self expanding stents in patients with congenital heart disease. DESIGN--Descriptive study of selected, non-randomised patients with balloon expandable but persistent stenoses in whom the use of a balloon expandable stent was considered suboptimal or impossible. SETTING--A tertiary referral centre. PATIENTS--10 patients, aged 15 days to 32 years. Six patients after atriopulmonary or cavopulmonary anastomosis, two with pulmonary atresia and multiple aortopulmonary collaterals, one with coarctation of the aorta, and one with congenital pulmonary venous stenosis. RESULTS--Successful, uncomplicated, placement of 10 stents with the desired haemodynamic results, even in tortuous vessels with many stenoses. CONCLUSIONS--Self expanding stents have a role in the treatment of patients with congenital heart disease. They should be considered when a smaller delivery system and flexibility would aid placement, or in the treatment of long or multiple sequential stenoses.

Full text

PDF
383

Images in this article

380Image
on p.380
381Image
on p.381
382Image
on p.382

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chatelain P., Meier B., Friedli B. Stenting of superior vena cava and inferior vena cava for symptomatic narrowing after repeated atrial surgery for D-transposition of the great vessels. Br Heart J. 1991 Dec;66(6):466–468. doi: 10.1136/hrt.66.6.466. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Gibbs J. L., Rothman M. T., Rees M. R., Parsons J. M., Blackburn M. E., Ruiz C. E. Stenting of the arterial duct: a new approach to palliation for pulmonary atresia. Br Heart J. 1992 Mar;67(3):240–245. doi: 10.1136/hrt.67.3.240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gibbs J. L., Wren C., Watterson K. G., Hunter S., Hamilton J. R. Stenting of the arterial duct combined with banding of the pulmonary arteries and atrial septectomy or septostomy: a new approach to palliation for the hypoplastic left heart syndrome. Br Heart J. 1993 Jun;69(6):551–555. doi: 10.1136/hrt.69.6.551. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Goy J. J., Sigwart U., Vogt P., Stauffer J. C., Kaufmann U., Urban P., Kappenberger L. Long-term follow-up of the first 56 patients treated with intracoronary self-expanding stents (the Lausanne experience). Am J Cardiol. 1991 Mar 15;67(7):569–572. doi: 10.1016/0002-9149(91)90893-p. [DOI] [PubMed] [Google Scholar]
  5. Hosking M. C., Benson L. N., Nakanishi T., Burrows P. E., Williams W. G., Freedom R. M. Intravascular stent prosthesis for right ventricular outflow obstruction. J Am Coll Cardiol. 1992 Aug;20(2):373–380. doi: 10.1016/0735-1097(92)90105-v. [DOI] [PubMed] [Google Scholar]
  6. Mulcahy D., Sigwart U., Somerville J. Successful stenting of a life threatening pulmonary arterial stenosis. Br Heart J. 1991 Dec;66(6):463–465. doi: 10.1136/hrt.66.6.463. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. O'Laughlin M. P., Perry S. B., Lock J. E., Mullins C. E. Use of endovascular stents in congenital heart disease. Circulation. 1991 Jun;83(6):1923–1939. doi: 10.1161/01.cir.83.6.1923. [DOI] [PubMed] [Google Scholar]
  8. O'Laughlin M. P., Slack M. C., Grifka R. G., Perry S. B., Lock J. E., Mullins C. E. Implantation and intermediate-term follow-up of stents in congenital heart disease. Circulation. 1993 Aug;88(2):605–614. doi: 10.1161/01.cir.88.2.605. [DOI] [PubMed] [Google Scholar]
  9. Palmaz J. C., Laborde J. C., Rivera F. J., Encarnacion C. E., Lutz J. D., Moss J. G. Stenting of the iliac arteries with the Palmaz stent: experience from a multicenter trial. Cardiovasc Intervent Radiol. 1992 Sep-Oct;15(5):291–297. doi: 10.1007/BF02733953. [DOI] [PubMed] [Google Scholar]
  10. Redington A. N., Hayes A. M., Ho S. Y. Transcatheter stent implantation to treat aortic coarctation in infancy. Br Heart J. 1993 Jan;69(1):80–82. doi: 10.1136/hrt.69.1.80. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ruiz C. E., Gamra H., Zhang H. P., García E. J., Boucek M. M. Brief report: stenting of the ductus arteriosus as a bridge to cardiac transplantation in infants with the hypoplastic left-heart syndrome. N Engl J Med. 1993 Jun 3;328(22):1605–1608. doi: 10.1056/NEJM199306033282205. [DOI] [PubMed] [Google Scholar]
  12. Sigwart U., Puel J., Mirkovitch V., Joffre F., Kappenberger L. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med. 1987 Mar 19;316(12):701–706. doi: 10.1056/NEJM198703193161201. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES