title: Novel approach to percutaneous stent implantation for coarctation of the aorta: the railway technique.
abstract: Percutaneous stent implantation is a widely accepted therapeutic procedure for recurrent coarctation of the aorta. Distal stent migration during deployment is not uncommon and can result in vascular dissection. The following report describes the creation of an arterial railway in two patients with coarctation. The railway allowed for stent placement with minimal movement of the balloon/stent assembly during deployment. This strategy may decrease the risk of stent malposition and could be particularly useful in cases where anatomy is difficult.
authors.affiliation: Division of Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, PA 19104, USA. gillespie@email.chop.edu
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Gillespie
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Kreutzer
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Rome
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents