Balloon Angioplasty for Aortic Coarctation : Report of a Questionnaire Survey by the Japanese Pediatric Interventional Cardiology Committee
スポンサーリンク
概要
- 論文の詳細を見る
The aim of this study was to analyze the results of a questionnaire survey regarding acute and late effects of balloon angioplasty for aortic coarctation in Japan. Considerable controversy still exists regarding the effectiveness and safety of balloon angioplasty in native coarctation. Moreover, little information about this mode of treatment is available from Japan. A questionnaire was sent to 55 Japanese institutions with pediatric cardiology units. A total of 208 patients from 35 institutions were reported and analyzed for indications for balloon angioplasty, acute and late results, and complications. Balloon angioplasty was performed in 56 patients with native coarctation (group I) and in 152 patients with postoperative recoarctation (group II). In group I, the pressure gradient across the coarcted site decreased significantly from 34±19 to 16±21 mmHg (p<0.001), and the diameter of the coarcted site increased significantly from 3.7±1.7 to 6.0±2.5mm (p<0.001). In group II the pressure gradient significantly decreased from 41±20 to 15±15 mmHg (p<0.001) and the diameter of the coarcted site significantly increased from 4.2±2.2 to 6.8±3.1 mm (p<0.001). The restenosis rate was significantly higher in group I (19/41, 46%) than in group II (25/139, 18%) (p=0.0006). Redilation was successfully performed in 27 of 29 of the patients with restenosis. Major complications included femoral pulse loss, transient bradycardia, and arrhythmia. No patient died of a cardiac event related to the procedure. The significant risk factors for late restenosis included type of coarctation, age under 4 months, balloon size used, pressure gradient and coarctation diameter before the procedure. Balloon angioplasty is a suitable treatment for aortic coarctation in both native coarctation and postoperative recoarctation. Restenosis was significant after initial balloon angioplasty in native coarctation but redilation was effective in most cases. The most significant risk group for restenosis is young children with native coarctation.
- 社団法人日本循環器学会の論文
- 1997-04-20
著者
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KATO Hirohisa
Departments of Pediatrics, Kurume University School of Medicine
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Momma Kazuo
Department Of Pediatric Cardiology The Heart Institute Tokyo Women's Med. Coll.
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Kato Hirohisa
Department Of Pediatrics Kurume University School Of Medicine
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Kamiya Tetsuro
Department of Pedeatrics
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Kato Hirohisa
Department Of Pediatrics Kurume University
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Ishizawa Akira
Cardiology, National Child Health Center
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Momma Kazuo
Department Of Pediatrics Sapporo Medical University School Of Medicine
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Momma Kazuo
Department Of Pediatric Cardiology
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Kamiya Tetusro
Division Of Pediatrics National Cardiovascular Center
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Ino Toshihiro
Department of Pediatrics, Juntendo University School of Medicine
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Koike Kazuyuki
Division of Pediatric Cardiology, Saitama Heart Institute, Saitama Medical School
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Nishimoto Kei
Department of Pediatrics, Juntendo University School of Medicine
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Ishizawa Akira
Department of Cardiology, National Children's Hospital
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Koike Kazuyuki
Department of Pediatric Cardiology, Cardiovascular Center, Saitama University School of Medicine
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Kamiya Testuro
Department of Pediatrics National Cardiovascular Center
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Kato Hirohisa
Department Of Dental Pharmacology School Of Dentistry Iwate Medical University
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KAMIYA TETSURO
The Department of Pediatrics. National Heart Institute. Osaka
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Kamiya Tetsuro
Department Of Radiology National Cardiovascular Center
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Kamiya Tetsuro
Department Of Pediatrics National Cardiovascular Center
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Ishizawa Akira
Cardiology National Child Health Center
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Kato Hirohisa
Dept. Of Pediatrics. Kurume Univ. School Of Med.
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Matsuda Kazuko
Department Of Pediatrics Sapporo Medical University School Of Medicine
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Kamiya Tetsuro
Department Pediatrics National Cardiovascular Center
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Kamiya Tetsuro
Department Of Pediatrics Kyoto University Faculty Of Medicine.
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Kamiya Tetsuro
Dept. Of Pediatrics Kyoto Univ.
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Kamiya Tetsuro
National Cardiovascular Center. Dept. Of Pediatrics
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Nishimoto Kei
Department Of Pediatrics Juntendo University School Of Medicine
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Ino Toshihiro
Department Of Pediatrics Juntendo University School Of Medicine
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Koike Kazuyuki
Division Of Pediatric Cardiology Saitama Heart Institute Saitama Medical School
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Kato Hirohisa
Dept. Of Pediatrics And The Institute Of Cardiovascular Disease Kurume University
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Kato Hirohisa
Pediattics Kurume University School Of Medicine
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Kato Hitoshi
Department Of Pediatrics Kurume University School Of Medicine
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Kato Hirohisa
Department Of Cardiovascular Medicine National Center For Child Health And Development
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Kamiya Testuro
Departjnents Of Pediatrics And Cardiovascular Surgery Natlonal Cardlovascular Center
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INO Toshihiro
Department of Pediatrics and the Juntendo University School of Medicine
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KAMIYA Tetsuro
Department of Cardiovascular Pediatrics, National Cardiovascular Center
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KOIKE Kazuyuki
Department of Clinical Molecular Biology, Graduate School of Medicine, Chiba University
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