Recommendations for CoA
Referenced studies that support the recommendations are summarized in the Online Data Supplement.
COR | LOE | RECOMMENDATIONS |
---|---|---|
1 | B-NR | 1. In patients with CoA, including those who have undergone surgical or endovascular intervention, an MRI or CT is recommended for initial, surveillance, and follow-up aortic imaging.1–4 |
1 | C-EO | 2. In patients with CoA, BPs should be measured in both arms and one of the lower extremities. |
1 | B-NR | 3. In patients with significant native or recurrent CoA (Table 37) and hypertension, endovascular stenting or open surgical repair of the coarctation is recommended.2,3,5–12 |
1 | C-EO | 4. In patients with CoA, guideline-directed medical therapy is recommended for the treatment of hypertension.13 |
2b | B-NR | 5. In adult patients with CoA, screening for intracranial aneurysms by MRI or CT may be reasonable.14–18 |