Bare delivery of medium and large stents in patients with congenital heart disease.
The medium and large stents favored by pediatric cardiologists are typically delivered through a long sheath placed distal to the target lesion. However, long sheath placement can be problematic. The aim of the study was to determine whether stents can be safely delivered without using a long sheath in patients with congenital heart disease. Between July 2001 and October 2002, primary bare stent delivery was attempted in 17 consecutive patients with 21 target lesions. All 21 stents were successfully delivered without employing a long sheath. The series demonstrates that medium and large stents can be safely delivered without a long sheath in patients with congenital heart disease. Furthermore, eliminating the long sheath can improve stent delivery and allow new options when addressing bifurcation lesions.
D000293:Adolescent; D000328:Adult; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002404:Catheterization / Q000295:instrumentation; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D004867:Equipment Design / Q000295:instrumentation; D004869:Equipment Safety / Q000295:instrumentation; D005268:Femoral Vein / Q000601:surgery; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D007084:Iliac Vein / Q000601:surgery; D007223:Infant; D007229:Infant Welfare; D007231:Infant, Newborn; D012086:Reoperation; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery