Loading…

Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era

The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. Although BA has become the standard means for treating recurrent coarctation following a Norw...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American College of Cardiology 2005-06, Vol.45 (11), p.1844-1848
Main Authors: Zeltser, Ilana, Menteer, Jondavid, Gaynor, J. William, Spray, Thomas L., Clark, Bernard J., Kreutzer, Jacqueline, Rome, Jonathan J.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83
cites cdi_FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83
container_end_page 1848
container_issue 11
container_start_page 1844
container_title Journal of the American College of Cardiology
container_volume 45
creator Zeltser, Ilana
Menteer, Jondavid
Gaynor, J. William
Spray, Thomas L.
Clark, Bernard J.
Kreutzer, Jacqueline
Rome, Jonathan J.
description The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. Although BA has become the standard means for treating recurrent coarctation following a Norwood operation, it has been suggested that re-coarctation remains a significant cause of morbidity and mortality. Patients who survived a Norwood operation from December 1986 through June 2001 were studied. Differences between groups were evaluated by ttest and logistic regression. Survival differences were tested by log-rank tests using Kaplan-Meier survival curves. Fifty-eight of 633 patients underwent treatment for re-coarctation (9.2%). Thirty-five patients underwent BA (before 1988, 23 had surgery). Median age at catheterization was 6.6 months (1.9 to 35.6 months). Balloon angioplasty was successful (gradient
doi_str_mv 10.1016/j.jacc.2005.01.056
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67899508</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735109705006315</els_id><sourcerecordid>67899508</sourcerecordid><originalsourceid>FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83</originalsourceid><addsrcrecordid>eNp9kMFq3DAURUVpaKZpf6CLYijtzs6TPJJs6CYZkjQQEkizF2_k51TGY7mSPSF_X01mIJBFQSCQzr1cDmNfOBQcuDrtig6tLQSALIAXINU7tuBSVnkpa_2eLUCXMudQ62P2McYOAFTF6w_smMu6VIrrBbPXmxHtlPk2u6d85THYCSfnh-zS971_csNjNv2h7NaHJ--b7G6ksP9P5_cctm6LfeaGF-gcUyS9nw2Pzo89xuk5uwj4iR212Ef6fLhP2MPlxcPqV35zd3W9OrvJbdo85RaFVkKoFtayLdeVlQobgW2t6qVuddOKCgQgNSRK0pYUX5aohRVrJMCqPGE_9rVj8H9nipPZuGip73EgP0ejdFXXEnbgtzdg5-cwpGmGS1BcLYVUiRJ7ygYfY6DWjMFtMDwbDmbn33Rm59_s_BvgBl5CXw_V83pDzWvkIDwB3w8ARot9G3CwLr5yqi5Tj0zczz1HSdjWUTDROhosNS6QnUzj3f92_AOFlKNo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1506164256</pqid></control><display><type>article</type><title>Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era</title><source>BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS</source><creator>Zeltser, Ilana ; Menteer, Jondavid ; Gaynor, J. William ; Spray, Thomas L. ; Clark, Bernard J. ; Kreutzer, Jacqueline ; Rome, Jonathan J.</creator><creatorcontrib>Zeltser, Ilana ; Menteer, Jondavid ; Gaynor, J. William ; Spray, Thomas L. ; Clark, Bernard J. ; Kreutzer, Jacqueline ; Rome, Jonathan J.</creatorcontrib><description>The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. Although BA has become the standard means for treating recurrent coarctation following a Norwood operation, it has been suggested that re-coarctation remains a significant cause of morbidity and mortality. Patients who survived a Norwood operation from December 1986 through June 2001 were studied. Differences between groups were evaluated by ttest and logistic regression. Survival differences were tested by log-rank tests using Kaplan-Meier survival curves. Fifty-eight of 633 patients underwent treatment for re-coarctation (9.2%). Thirty-five patients underwent BA (before 1988, 23 had surgery). Median age at catheterization was 6.6 months (1.9 to 35.6 months). Balloon angioplasty was successful (gradient &lt;10 mm Hg) in 32 of 35 patients (92%). There were no BA-related deaths or neurologic complications. Recurrent obstruction after BA occurred in seven patients (20%); five underwent re-dilation. Kaplan-Meier estimates of freedom from recurrent obstruction after initial BA were 97% at one month, 79% at one year, and 79% at five years. There were no differences in survival between patients with re-coarctation treated by BA and patients who did not undergo treatment for re-coarctation. We found that 9.2% of patients underwent treatment for re-coarctation following a Norwood operation. Balloon angioplasty is effective, with low morbidity, no early mortality, and no difference in long-term survival when compared with patients who did not have re-coarctation. Recurrent coarctation following BA occurred in 17% of patients, usually within the first year after BA.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2005.01.056</identifier><identifier>PMID: 15936617</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Angioplasty ; Angioplasty, Balloon, Coronary ; Aortic Coarctation - etiology ; Aortic Coarctation - mortality ; Aortic Coarctation - therapy ; Biological and medical sciences ; Cardiac Surgical Procedures - adverse effects ; Cardiology ; Cardiology. Vascular system ; Catheters ; Child, Preschool ; Hospitals ; Humans ; Hypoplastic Left Heart Syndrome - surgery ; Infant ; Intubation ; Medical sciences ; Mortality ; Postoperative period ; Recurrence ; Risk factors ; Studies ; Success ; Survival Analysis</subject><ispartof>Journal of the American College of Cardiology, 2005-06, Vol.45 (11), p.1844-1848</ispartof><rights>2005 American College of Cardiology Foundation</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Elsevier Limited Jun 7, 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83</citedby><cites>FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16930565$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15936617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeltser, Ilana</creatorcontrib><creatorcontrib>Menteer, Jondavid</creatorcontrib><creatorcontrib>Gaynor, J. William</creatorcontrib><creatorcontrib>Spray, Thomas L.</creatorcontrib><creatorcontrib>Clark, Bernard J.</creatorcontrib><creatorcontrib>Kreutzer, Jacqueline</creatorcontrib><creatorcontrib>Rome, Jonathan J.</creatorcontrib><title>Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. Although BA has become the standard means for treating recurrent coarctation following a Norwood operation, it has been suggested that re-coarctation remains a significant cause of morbidity and mortality. Patients who survived a Norwood operation from December 1986 through June 2001 were studied. Differences between groups were evaluated by ttest and logistic regression. Survival differences were tested by log-rank tests using Kaplan-Meier survival curves. Fifty-eight of 633 patients underwent treatment for re-coarctation (9.2%). Thirty-five patients underwent BA (before 1988, 23 had surgery). Median age at catheterization was 6.6 months (1.9 to 35.6 months). Balloon angioplasty was successful (gradient &lt;10 mm Hg) in 32 of 35 patients (92%). There were no BA-related deaths or neurologic complications. Recurrent obstruction after BA occurred in seven patients (20%); five underwent re-dilation. Kaplan-Meier estimates of freedom from recurrent obstruction after initial BA were 97% at one month, 79% at one year, and 79% at five years. There were no differences in survival between patients with re-coarctation treated by BA and patients who did not undergo treatment for re-coarctation. We found that 9.2% of patients underwent treatment for re-coarctation following a Norwood operation. Balloon angioplasty is effective, with low morbidity, no early mortality, and no difference in long-term survival when compared with patients who did not have re-coarctation. Recurrent coarctation following BA occurred in 17% of patients, usually within the first year after BA.</description><subject>Angioplasty</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Aortic Coarctation - etiology</subject><subject>Aortic Coarctation - mortality</subject><subject>Aortic Coarctation - therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Catheters</subject><subject>Child, Preschool</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypoplastic Left Heart Syndrome - surgery</subject><subject>Infant</subject><subject>Intubation</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Postoperative period</subject><subject>Recurrence</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Success</subject><subject>Survival Analysis</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNp9kMFq3DAURUVpaKZpf6CLYijtzs6TPJJs6CYZkjQQEkizF2_k51TGY7mSPSF_X01mIJBFQSCQzr1cDmNfOBQcuDrtig6tLQSALIAXINU7tuBSVnkpa_2eLUCXMudQ62P2McYOAFTF6w_smMu6VIrrBbPXmxHtlPk2u6d85THYCSfnh-zS971_csNjNv2h7NaHJ--b7G6ksP9P5_cctm6LfeaGF-gcUyS9nw2Pzo89xuk5uwj4iR212Ef6fLhP2MPlxcPqV35zd3W9OrvJbdo85RaFVkKoFtayLdeVlQobgW2t6qVuddOKCgQgNSRK0pYUX5aohRVrJMCqPGE_9rVj8H9nipPZuGip73EgP0ejdFXXEnbgtzdg5-cwpGmGS1BcLYVUiRJ7ygYfY6DWjMFtMDwbDmbn33Rm59_s_BvgBl5CXw_V83pDzWvkIDwB3w8ARot9G3CwLr5yqi5Tj0zczz1HSdjWUTDROhosNS6QnUzj3f92_AOFlKNo</recordid><startdate>20050607</startdate><enddate>20050607</enddate><creator>Zeltser, Ilana</creator><creator>Menteer, Jondavid</creator><creator>Gaynor, J. William</creator><creator>Spray, Thomas L.</creator><creator>Clark, Bernard J.</creator><creator>Kreutzer, Jacqueline</creator><creator>Rome, Jonathan J.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050607</creationdate><title>Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era</title><author>Zeltser, Ilana ; Menteer, Jondavid ; Gaynor, J. William ; Spray, Thomas L. ; Clark, Bernard J. ; Kreutzer, Jacqueline ; Rome, Jonathan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Angioplasty</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Aortic Coarctation - etiology</topic><topic>Aortic Coarctation - mortality</topic><topic>Aortic Coarctation - therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Catheters</topic><topic>Child, Preschool</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypoplastic Left Heart Syndrome - surgery</topic><topic>Infant</topic><topic>Intubation</topic><topic>Medical sciences</topic><topic>Mortality</topic><topic>Postoperative period</topic><topic>Recurrence</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Success</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeltser, Ilana</creatorcontrib><creatorcontrib>Menteer, Jondavid</creatorcontrib><creatorcontrib>Gaynor, J. William</creatorcontrib><creatorcontrib>Spray, Thomas L.</creatorcontrib><creatorcontrib>Clark, Bernard J.</creatorcontrib><creatorcontrib>Kreutzer, Jacqueline</creatorcontrib><creatorcontrib>Rome, Jonathan J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeltser, Ilana</au><au>Menteer, Jondavid</au><au>Gaynor, J. William</au><au>Spray, Thomas L.</au><au>Clark, Bernard J.</au><au>Kreutzer, Jacqueline</au><au>Rome, Jonathan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2005-06-07</date><risdate>2005</risdate><volume>45</volume><issue>11</issue><spage>1844</spage><epage>1848</epage><pages>1844-1848</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. Although BA has become the standard means for treating recurrent coarctation following a Norwood operation, it has been suggested that re-coarctation remains a significant cause of morbidity and mortality. Patients who survived a Norwood operation from December 1986 through June 2001 were studied. Differences between groups were evaluated by ttest and logistic regression. Survival differences were tested by log-rank tests using Kaplan-Meier survival curves. Fifty-eight of 633 patients underwent treatment for re-coarctation (9.2%). Thirty-five patients underwent BA (before 1988, 23 had surgery). Median age at catheterization was 6.6 months (1.9 to 35.6 months). Balloon angioplasty was successful (gradient &lt;10 mm Hg) in 32 of 35 patients (92%). There were no BA-related deaths or neurologic complications. Recurrent obstruction after BA occurred in seven patients (20%); five underwent re-dilation. Kaplan-Meier estimates of freedom from recurrent obstruction after initial BA were 97% at one month, 79% at one year, and 79% at five years. There were no differences in survival between patients with re-coarctation treated by BA and patients who did not undergo treatment for re-coarctation. We found that 9.2% of patients underwent treatment for re-coarctation following a Norwood operation. Balloon angioplasty is effective, with low morbidity, no early mortality, and no difference in long-term survival when compared with patients who did not have re-coarctation. Recurrent coarctation following BA occurred in 17% of patients, usually within the first year after BA.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15936617</pmid><doi>10.1016/j.jacc.2005.01.056</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0735-1097
ispartof Journal of the American College of Cardiology, 2005-06, Vol.45 (11), p.1844-1848
issn 0735-1097
1558-3597
language eng
recordid cdi_proquest_miscellaneous_67899508
source BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS
subjects Angioplasty
Angioplasty, Balloon, Coronary
Aortic Coarctation - etiology
Aortic Coarctation - mortality
Aortic Coarctation - therapy
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiology
Cardiology. Vascular system
Catheters
Child, Preschool
Hospitals
Humans
Hypoplastic Left Heart Syndrome - surgery
Infant
Intubation
Medical sciences
Mortality
Postoperative period
Recurrence
Risk factors
Studies
Success
Survival Analysis
title Impact of Re-Coarctation Following the Norwood Operation on Survival in the Balloon Angioplasty Era
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T18%3A11%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Re-Coarctation%20Following%20the%20Norwood%20Operation%20on%20Survival%20in%20the%20Balloon%20Angioplasty%20Era&rft.jtitle=Journal%20of%20the%20American%20College%20of%20Cardiology&rft.au=Zeltser,%20Ilana&rft.date=2005-06-07&rft.volume=45&rft.issue=11&rft.spage=1844&rft.epage=1848&rft.pages=1844-1848&rft.issn=0735-1097&rft.eissn=1558-3597&rft.coden=JACCDI&rft_id=info:doi/10.1016/j.jacc.2005.01.056&rft_dat=%3Cproquest_cross%3E67899508%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c558t-ca276226f0b5f3b8c56ad2af96947f7df28020aede23e7ce6143a72c2bae0a83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1506164256&rft_id=info:pmid/15936617&rfr_iscdi=true