Angiographic Assessment of the Stretch-Recoil-Gain Relation After Balloon Coarctation Angioplasty and Its Relation to Late Restenosis

• INO Toshihiro

  the Departments of Pediatrics, Juntendo University School of Medicine

• OHKUBO Mataichi

  the Departments of Pediatrics, Juntendo University School of Medicine

• AKIMOTO Katsumi

  the Departments of Pediatrics, Juntendo University School of Medicine

• NISHIMOTO Kei

  the Departments of Pediatrics, Juntendo University School of Medicine

• YABUTA Keijiro

  the Departments of Pediatrics, Juntendo University School of Medicine

• KAWASAKI Shiori

  the Departments of Thoracic Surgery, Juntendo University School of Medicine

• WATANABE Mikio

  the Departments of Thoracic Surgery, Juntendo University School of Medicine

• HOSODA Yasuyuki

  the Departments of Thoracic Surgery, Juntendo University School of Medicine

抄録

The effects of stretch and immediate recoil after balloon angioplasty were evaluated in 21 patients with coarctation of the aorta who underwent balloon coarctation angioplasty. A total of 28 procedures were performed in these patients, who ranged in age from 1 month to 17 years with a mean of 4.3 years. The systolic pressure gradient and coarcted diameter changed significantly from 42±22 to 14±9 mmHg(P<0.0001)and from 4.0±1.7 to 6.1±2.0 mm(P<0.001), respectively. Immediate recoil was responsible for the loss of 33% of the potentially achievable coarcted dimension. Recoil was determined mainly by the degree of arterial stretch. Gain increased exponentially with an increase in stretch. There was a narrow range of % stretch(60-80%)within which an effective diameter gain could be obtained. Both gain and stretch were the best predictors for late restenosis : patients with a larger immediate gain and stretch developed more restenosis. These results suggest that the stretch-recoil-gain relationship may be clinically important for evaluating the best predictor of late restenosis after balloon coarctation angioplasty.

収録刊行物

• Japanese circulation journal

  Japanese circulation journal 60 (2), 102-107, 1996-01-20

  社団法人日本循環器学会

キーワード

• Coarctation of the aorta
• Balloon coarctation angioplasty
• Elastic recoil
• Arterial stretch

詳細情報

• CRID: 1571980077127363584
• NII論文ID: 110002560559
• NII書誌ID: AA00690731
• ISSN: 00471828
• Web Site: https://search.jamas.or.jp/link/ui/1996179655
• 本文言語コード: en
• データソース種別:
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