Surgical Versus Percutaneous Stenting Treatment of Isolated Aortic Coarctation: Long-Term Follow-Up

Background: In recent decades, aortic stenting has become a promising alternative to surgery for both native coarctation and re-stenosis in children adults. However, comparative long-term outcomes have poorly been investigated. Methods: We included 212 patients with previous repair (19 ± 8.7 years) divided into 3 groups: 139 single-time surgical (CoA-S group); 18 percutaneous (CoA-PS 55 hybrid multiple procedures because of re-coarctation occurrence (CoA-H group). All underwent 24-hour ambulatory blood pressure monitoring trans-thoracic echocardiography. Results: After median follow-up 17 years after repair, antihypertensive therapy was recorded significantly higher proportion (83%) CoA-PS group compared 65% 46% CoA-H CoA-S groups, respectively (p = 0.002). Pulse values were the others < 0.001). Echocardiogram showed significant residual gradient 50% 73% 33% 0.0001). Indeed, associated incidence re-coartaction At multivariate regression Cox analysis adjusted age at need therapy, an independent predictor echocardiographic evidence ≤ Conclusion: Aortic independently during follow up when procedures. Furthermore, had lower control therapy.