Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants
The aim. This study aims to determine the reintervention rate in infantsundergoing aortic arch repair and to analyze risk factors and evaluate the results of reinterventions. Materials and methods. This retrospective study examines 445 infants with aortic arch hypoplasia who under-went aortic arc...
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| Format: | Article |
| Language: | English |
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Professional Edition Eastern Europe
2022-12-01
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| Series: | Український журнал серцево-судинної хірургії |
| Subjects: | |
| Online Access: | http://cvs.org.ua/index.php/ujcvs/article/view/528 |
| _version_ | 1797974470707642368 |
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| author | Iaroslav P. Truba Oleksandr S. Golovenko Ivan V. Dziuryi |
| author_facet | Iaroslav P. Truba Oleksandr S. Golovenko Ivan V. Dziuryi |
| author_sort | Iaroslav P. Truba |
| collection | DOAJ |
| description | The aim. This study aims to determine the reintervention rate in infantsundergoing aortic arch repair and to analyze risk factors and evaluate the results of reinterventions.
Materials and methods. This retrospective study examines 445 infants with aortic arch hypoplasia who under-went aortic arch reconstruction between 2011 and 2019. The study included only patients with two-ventricle physiology and subsequent two-ventricle repair. Techniques for primary repair included extended end-to-end anastomosis (n = 348), end-to-side anastomosis (n = 611), autologous pericardial patch repair (n = 16).
Results. The overall mortality in the entire study group was 3.3 %. Follow-up period ranged from 1 month to 9.4 years (mean 2.8 ± 2.5 years). Restenosis at the site of aortic arch repair was identiϐied in 47 (10.5 %) patients. Of these, 12 patients underwent surgical reconstruction of the aortic arch, 27 patients underwent balloon angioplasty, and in 8 patients both methods were used. Freedom from reintervention was 89.4 % at 1-year follow-up and 87.5 % at 4-year follow-up. The most determining factorsfor restenosis were related to hypoplastic proximal aortic arch and body weight less than 2.5 kg.
Conclusions. Surgical treatment of aortic arch hypoplasia in newborns and infants is effective and shows good immediate and long-term results. Anatomical correction of reobstruction at the level of the aortic arch is safe with both endovacular and surgical methods with low mortality and incidence of repeated interventions. Identified risk factors for mortality and recurrent aortic arch interventions help to improve the treatment of aortic arch hypoplasia in patients under 1 year of age. |
| first_indexed | 2024-04-11T04:20:28Z |
| format | Article |
| id | doaj.art-4862038e80cc4c2f9badec6ac7fc8666 |
| institution | Directory Open Access Journal |
| issn | 2664-5963 2664-5971 |
| language | English |
| last_indexed | 2024-04-11T04:20:28Z |
| publishDate | 2022-12-01 |
| publisher | Professional Edition Eastern Europe |
| record_format | Article |
| series | Український журнал серцево-судинної хірургії |
| spelling | doaj.art-4862038e80cc4c2f9badec6ac7fc86662022-12-30T20:34:45ZengProfessional Edition Eastern EuropeУкраїнський журнал серцево-судинної хірургії2664-59632664-59712022-12-01304596510.30702/ujcvs/22.30(04)/TG056-5965528Restenosis Rate and Reinterventions after Aortic Arch Repair in InfantsIaroslav P. Truba0https://orcid.org/0000-0001-5214-408XOleksandr S. Golovenko1https://orcid.org/0000-0001-6002-3325Ivan V. Dziuryi2https://orcid.org/0000-0002-1073-7060National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineNational Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineNational Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine, Kyiv, UkraineThe aim. This study aims to determine the reintervention rate in infantsundergoing aortic arch repair and to analyze risk factors and evaluate the results of reinterventions. Materials and methods. This retrospective study examines 445 infants with aortic arch hypoplasia who under-went aortic arch reconstruction between 2011 and 2019. The study included only patients with two-ventricle physiology and subsequent two-ventricle repair. Techniques for primary repair included extended end-to-end anastomosis (n = 348), end-to-side anastomosis (n = 611), autologous pericardial patch repair (n = 16). Results. The overall mortality in the entire study group was 3.3 %. Follow-up period ranged from 1 month to 9.4 years (mean 2.8 ± 2.5 years). Restenosis at the site of aortic arch repair was identiϐied in 47 (10.5 %) patients. Of these, 12 patients underwent surgical reconstruction of the aortic arch, 27 patients underwent balloon angioplasty, and in 8 patients both methods were used. Freedom from reintervention was 89.4 % at 1-year follow-up and 87.5 % at 4-year follow-up. The most determining factorsfor restenosis were related to hypoplastic proximal aortic arch and body weight less than 2.5 kg. Conclusions. Surgical treatment of aortic arch hypoplasia in newborns and infants is effective and shows good immediate and long-term results. Anatomical correction of reobstruction at the level of the aortic arch is safe with both endovacular and surgical methods with low mortality and incidence of repeated interventions. Identified risk factors for mortality and recurrent aortic arch interventions help to improve the treatment of aortic arch hypoplasia in patients under 1 year of age.http://cvs.org.ua/index.php/ujcvs/article/view/528recurrent obstructionballoon angioplastysurgical reconstructionrisk factors for mortalityhypoplasia |
| spellingShingle | Iaroslav P. Truba Oleksandr S. Golovenko Ivan V. Dziuryi Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants Український журнал серцево-судинної хірургії recurrent obstruction balloon angioplasty surgical reconstruction risk factors for mortality hypoplasia |
| title | Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants |
| title_full | Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants |
| title_fullStr | Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants |
| title_full_unstemmed | Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants |
| title_short | Restenosis Rate and Reinterventions after Aortic Arch Repair in Infants |
| title_sort | restenosis rate and reinterventions after aortic arch repair in infants |
| topic | recurrent obstruction balloon angioplasty surgical reconstruction risk factors for mortality hypoplasia |
| url | http://cvs.org.ua/index.php/ujcvs/article/view/528 |
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