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Native Coarctation in Adults: Balloon/Stent/Surgery?

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Dr Sushil Azad, New Delhi    19 December 2017

angioplasty alone is associated with less favorable hemodynamic results with more incidence of complications.

Significant improvement in both outcomes and avoidance of acute/intermediate complications have been observed in stent treatment of coarctation of the aorta over the past 10 years. At this time, acute and intermediate follow-up results favor stent treatment of coarctation in adults, though long-term results remain speculative.

Accurate comparisons between the stent/surgery are limited by the paucity of long-term imaging and clinical follow-up data. Further follow-up is required to determine which treatment a particular patient (and coarctation anatomy) should undergo to obtain the best results.

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