Experience of Percutaneous Coronary Intervention in the Management of Pediatric Cardiac Allograft Vasculopathy
- 作者：Tham ; Edythe B.C. ; Yeung ; Alan C. ; Cheng ; Cheung Wah Boron ; Bernstein ; Daniel ; Chin ; Clifford ; et. al.
- 刊名：Journal of Heart and Lung Transplantation
- 出版年：2005
- 期刊代码：161_10532498
- 类别：med
- 出版时间：June, 2005
- 卷：24
- 期：6
- 页码：769-773
- 文件大小：99.2 K
摘要
In a retrospective study, we examined the procedural success rate and the short-, intermediate-, and long-term outcomes of coronary interventional procedures in children with cardiac allograft vasculopathy. Seven patients underwent 13 interventional procedures: balloon angioplasty alone (n = 3), angioplasty with stenting (n = 9), or angioplasty with brachytherapy (n = 1), with procedural success in all. Two major complications (cardiac arrest) and a single death occurred in the immediate postprocedural period. Five (83%) of the remaining 6 patients developed moderate to severe restenosis, diffuse disease, or progressive vasculopathy; 3 have been retransplanted, 1 died from progressive cardiac allograft vasculopathy, and 1 is awaiting retransplantation, 40 months after the procedure.