Retrograde percutaneous repair of aortic coarctation utilizing trans-septal puncture in patients with complex anatomy

Jacob A Misenheimer, Paul Boyd Poommipanit, Zahid Amin

Research output: Contribution to journalArticle

Abstract

Coarctation of the aorta (COA) is one of the more common congenital anomalies, occurring in four in ten thousand live births and accounting for five to eight percent of all congenital heart defects. COA lesions can be challenging to treat percutaneously, especially if complex vascular anatomy is a barrier to crossing the lesion. We present two cases of COA that utilized a trans-septal approach to cross the lesion in anterograde fashion, subsequently facilitating retrograde stenting of the lesions after snaring and externalizing the wire. In both cases, the trans-septal approach was employed because traditional femoral and radial approaches failed due to complex anatomy, and the trans-septal approach allowed for effective intervention without the need for surgery.

Original languageEnglish (US)
Pages (from-to)446-450
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume87
Issue number3
DOIs
StatePublished - Feb 15 2016

Fingerprint

Aortic Coarctation
Punctures
Anatomy
Congenital Heart Defects
Live Birth
Thigh
Blood Vessels

Keywords

  • aortic disease
  • aortic repair
  • catheterization
  • endovascular
  • trans-septal

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Retrograde percutaneous repair of aortic coarctation utilizing trans-septal puncture in patients with complex anatomy. / Misenheimer, Jacob A; Poommipanit, Paul Boyd; Amin, Zahid.

In: Catheterization and Cardiovascular Interventions, Vol. 87, No. 3, 15.02.2016, p. 446-450.

Research output: Contribution to journalArticle

@article{04fdeb364090466997b03513a4422211,
title = "Retrograde percutaneous repair of aortic coarctation utilizing trans-septal puncture in patients with complex anatomy",
abstract = "Coarctation of the aorta (COA) is one of the more common congenital anomalies, occurring in four in ten thousand live births and accounting for five to eight percent of all congenital heart defects. COA lesions can be challenging to treat percutaneously, especially if complex vascular anatomy is a barrier to crossing the lesion. We present two cases of COA that utilized a trans-septal approach to cross the lesion in anterograde fashion, subsequently facilitating retrograde stenting of the lesions after snaring and externalizing the wire. In both cases, the trans-septal approach was employed because traditional femoral and radial approaches failed due to complex anatomy, and the trans-septal approach allowed for effective intervention without the need for surgery.",
keywords = "aortic disease, aortic repair, catheterization, endovascular, trans-septal",
author = "Misenheimer, {Jacob A} and Poommipanit, {Paul Boyd} and Zahid Amin",
year = "2016",
month = "2",
day = "15",
doi = "10.1002/ccd.26165",
language = "English (US)",
volume = "87",
pages = "446--450",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "3",

}

TY - JOUR

T1 - Retrograde percutaneous repair of aortic coarctation utilizing trans-septal puncture in patients with complex anatomy

AU - Misenheimer, Jacob A

AU - Poommipanit, Paul Boyd

AU - Amin, Zahid

PY - 2016/2/15

Y1 - 2016/2/15

N2 - Coarctation of the aorta (COA) is one of the more common congenital anomalies, occurring in four in ten thousand live births and accounting for five to eight percent of all congenital heart defects. COA lesions can be challenging to treat percutaneously, especially if complex vascular anatomy is a barrier to crossing the lesion. We present two cases of COA that utilized a trans-septal approach to cross the lesion in anterograde fashion, subsequently facilitating retrograde stenting of the lesions after snaring and externalizing the wire. In both cases, the trans-septal approach was employed because traditional femoral and radial approaches failed due to complex anatomy, and the trans-septal approach allowed for effective intervention without the need for surgery.

AB - Coarctation of the aorta (COA) is one of the more common congenital anomalies, occurring in four in ten thousand live births and accounting for five to eight percent of all congenital heart defects. COA lesions can be challenging to treat percutaneously, especially if complex vascular anatomy is a barrier to crossing the lesion. We present two cases of COA that utilized a trans-septal approach to cross the lesion in anterograde fashion, subsequently facilitating retrograde stenting of the lesions after snaring and externalizing the wire. In both cases, the trans-septal approach was employed because traditional femoral and radial approaches failed due to complex anatomy, and the trans-septal approach allowed for effective intervention without the need for surgery.

KW - aortic disease

KW - aortic repair

KW - catheterization

KW - endovascular

KW - trans-septal

UR - http://www.scopus.com/inward/record.url?scp=84949239271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84949239271&partnerID=8YFLogxK

U2 - 10.1002/ccd.26165

DO - 10.1002/ccd.26165

M3 - Article

VL - 87

SP - 446

EP - 450

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 3

ER -