title: [Our initial experience with stent implantation for aortic coarctation in adults].
abstract: OBJECTIVE
  We evaluated the procedural success and short-mid term results of stent implantation for aortic coarctation in adults.
  
  
  METHODS
  The study included 15 consecutive patients (9 women, 6 men; mean age 27±7 years; range 17 to 45 years) treated with stent implantation for aortic coarctation. Fourteen patients had native, one patient had recurrent coarctation. Nine patients received bare metal and six patients received covered Cheatham-Platinum stents. Covered stents were used in patients with accompanying patent ductus arteriosus (n=2), severe coarctation (n=3), and recurrent coarctation (n=1). Procedural success was defined as the reduction in the pressure gradient across the coarctation site to less than 20 mmHg. The mean follow-up period was 10.4±4.6 months (range 3 to 18 months).
  
  
  RESULTS
  Stent implantation was successful in all the patients. Compared to the preprocedure figures, systolic gradient across the aortic coarctation decreased from 37.2±11.3 mmHg to 3.5±2.9 mmHg, the diameter of the coarcted aortic segment increased from 5.4±1.5 mm to 17.2±1.4 mm, and systolic blood pressure declined from 154±9.7 mmHg to 130±7.3 mmHg following stenting (for all, p<0.001). There were no procedure-related major complications.
  
  
  CONCLUSIONS
  Stent implantation for aortic coarctation in adults is a safe and effective alternative to surgical correction.
authors.affiliation: Department of Cardiology, Medicine Faculty of Eskişehir Osmangazi University, Eskişehir, Turkey. drhyazici@gmail.com
authors.forename: Hüseyin Uğur
authors.initials: HU
authors.lastname: Yazıcı
authors.forename: Omer
authors.initials: O
authors.lastname: Göktekin
authors.forename: Taner
authors.initials: T
authors.lastname: Ulus
authors.forename: Kerem
authors.initials: K
authors.lastname: Temel
authors.forename: Aydın
authors.initials: A
authors.lastname: Nadir
authors.forename: Muharrem
authors.initials: M
authors.lastname: Nasifov
authors.forename: Alparslan
authors.initials: A
authors.lastname: Birdane
authors.forename: Ahmet
authors.initials: A
authors.lastname: Unalır
authors.forename: Necmi
authors.initials: N
authors.lastname: Ata
mesh_terms: D000293:Adolescent; D000328:Adult; D000800:Angioplasty, Balloon; D001017:Aortic Coarctation / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome