title: Percutaneous recanalization of totally occluded coarctation of the aorta in children using Brockenbrough needle and covered stents.
abstract: Percutaneous treatment of totally occluded coarctation of the aorta has been reported predominantly in adults. The success and challenges of this procedure in children is reported in few patients. We report an outcome of percutaneous treatment of three children with completely occluded coarctation of the aorta. The age range was 9-14 years. All the patients had upper limb hypertension. One case had severe left ventricular dysfunction. In all cases, a pediatric Brockenbrough needle and a covered stent were implanted. Recanalization and implantation of a covered stent was successful in all patients. One of these patients developed transient postcoarctectomy syndrome. Percutaneous recanalization of totally occluded coarctation of the aorta using Brockenbrough needle and a covered stent in children is feasible and effective.
authors.affiliation: Department of Pediatrics and Child Health, Cardiology Division, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
authors.forename: Endale
authors.initials: E
authors.lastname: Tefera
authors.affiliation: Division of Pediatric Cardiology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montréal, Québec, Canada.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Leye
authors.affiliation: Children's Heart Fund Cardiac Center, Addis Ababa, Ethiopia.
authors.forename: Yilkal
authors.initials: Y
authors.lastname: Chanie
authors.affiliation: Division of Pediatric Cardiology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montréal, Québec, Canada.
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Raboisson
authors.affiliation: Division of Pediatric Cardiology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montréal, Québec, Canada.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Miró
keywords: Brockenbrough needle; covered stent; percutaneous recanalization; totally occluded coarctation