Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T02:56:22.439Z Has data issue: false hasContentIssue false

Cheatham-platinum-covered stent, aortic coarctation, and left subclavian artery: sometimes is there one too many?

Published online by Cambridge University Press:  02 September 2019

Vincenzo Tufaro
Affiliation:
Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
Gianfranco Butera*
Affiliation:
Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
*
Author for correspondence: Dr G. Butera, MD, PhD, FSCAI, Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato Hospital, Piazza Edmondo Malan, 1, 20097 San Donato Milanese, Milan, Italy. Tel: +39 02752774328; Fax +39 0252774459; E-mail: [email protected]

Abstract

A new approach was used in the percutaneous treatment of two patients with severe recoarctation involving the origin of the left subclavian artery. A tiny handmade fenestration was created in a NuMED-covered Cheatham-platinum stent before its implantation to avoid left subclavian artery occlusion. The stent placement was performed using a two-guidewire technique in which the different stiffness helped a proper positioning of the stent. After the stent deployment, the fenestration was enlarged performing a balloon angioplasty to improve flow in left subclavian artery.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

The online version of this article has been updated since original publication. A notice detailing the changes has also been published.

References

Tzifa, A, Ewert, P, Brzezinska-Rajszys, G, et al. Covered Cheatham-platinum stents for aortic coarctation: early and intermediate-term results. J Am Coll Cardiol 2006; 47: 14571463.CrossRefGoogle ScholarPubMed
Butera, G, Piazza, L, Chessa, M, et al. Covered stents in patients with complex aortic coarctations. Am Heart J 2007; 154: 795800.CrossRefGoogle ScholarPubMed
Pedra, CA, Fontes, VF, Esteves, CA, et al. Use of covered stents in the management of coarctation of the aorta. Pediatr Cardiol 2005; 26: 431439.CrossRefGoogle ScholarPubMed
Rehders, TC, Petzsch, M, Ince, H, et al. Intentional occlusion of the left subclavian artery during stent-graft implantation in the thoracic aorta: risk and relevance. J Endovasc Ther 2004; 11: 659666.CrossRefGoogle ScholarPubMed
Marcheix, B, Lamarche, Y, Perrault, P, et al. Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation. Eur J Cardiothorac Surg 2007; 31: 10041007.CrossRefGoogle ScholarPubMed
Tsai, SF, Hill, SL, Cheatham, JP. Treatment of aortic arch aneurysm with a NuMED-covered stent and restoration of flow to excluded left subclavian artery: perforation and dilation of e-PTFE can be done! Catheter Cardiovasc Interv 2009; 73: 385389.Google Scholar