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Early outcomes of the treatment of aortic coarctation with BeGraft aortic stent in children and young adults

Published online by Cambridge University Press:  19 October 2022

Ahmet V. Kavurt Open the ORCID record for Ahmet V. Kavurt [Opens in a new window] ,
Hazım A. Gürsu Open the ORCID record for Hazım A. Gürsu [Opens in a new window] ,
Gökçe Kaş ,
Nevin Özdemiroğlu ,
Denizhan Bağrul Open the ORCID record for Denizhan Bağrul [Opens in a new window] ,
Ayşe E. K. Gül Open the ORCID record for Ayşe E. K. Gül [Opens in a new window] ,
İbrahim Ece  and
İbrahim İ Çetin
Ahmet V. Kavurt*
Affiliation:
Department of Pediatric Cardiology, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Hazım A. Gürsu
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
Gökçe Kaş
Affiliation:
Department of Pediatric Cardiology, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Nevin Özdemiroğlu
Affiliation:
Department of Pediatric Cardiology, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Denizhan Bağrul
Affiliation:
Department of Pediatric Cardiology, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Ayşe E. K. Gül
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
İbrahim Ece
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
İbrahim İ Çetin
Affiliation:
Department of Pediatric Cardiology, University of Yıldırım Beyazıt, Ankara City Hospital, Ankara, Turkey
*
Author for correspondence: Ahmet Vedat Kavurt, Department of Pediatric Cardiology, University of Health Sciences, Ankara City Hospital, Üniversiteler Mahallesi 1604, Cadde No 9 Çankaya, Ankara / Turkey. Tel: +90 (532) 6851433. E-mail: vedatkavurt@hotmail.com
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Abstract

We report our experience and early outcomes of using the BeGraft aortic stent in children, adolescents, and young adults. BeGraft aortic stent (Bentley InnoMed, Hechingen, Germany) requires a smaller long sheath compared to other covered stents, and it has a low profile and adequate radial power. With these features, it can overcome some limitations in the treatment of coarctation, especially in children. This is a single centre retrospective analysis of 11 implanted BeGraft aortic stents in coarctation of the aorta between July 2020 and November 2021. The eleven stents were successfully implanted in 11 patients (10 males). The median age of the patients was 13.7 years (interquartile range 12–16 years), and the median weight was 43 kg (interquartile range 35–62 kg). In five patients, after the stents were opened completely by the first balloon, they were exchanged with a Z-MED II™ balloon, 1–3 mm larger in diameter, and the stents were redilated. The median catheter-derived systolic peak-to-peak pressure gradient was 23 mm Hg (interquartile range 16–37 mmHg) before the procedure and 3 mm Hg (interquartile range 1–5 mm Hg) after the procedure. Except for the partial femoral artery thrombosis in two patients, no other procedural complications were observed in our study. The median follow-up duration was 5 months (interquartile range 2–12 months). During follow-up, only one patient (9%) had stent narrowing that required dilation. Our initial results and short-term follow-up showed that the BeGraft aortic stent implantation and redilation can be performed effectively, safely, and successfully in the treatment of coarctation of the aorta.

Keywords

Congenital heart diseasecoarctation of the aortaendovascular treatmentstent-graft
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 3 , March 2023 , pp. 354 - 361
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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