Immediate and intermediate term results of cheatham platinum stenting for native coarctation of aorta in adults

Background: aortic coarctation is an important cause of hypertension. Surgical repair was considered the conventional treatment for native aortic coarctation while stenting emerged recently as an alternative to surgical repair. Objective: To evaluate the immediate and intermediate results of Cheatham Platinum (CP) stenting for native coarctation of aorta. Methods: This is a prospective study done in Ibn Al-Bitar cardiac Centre, included 32 consecutive adult patients with native coarctation of aorta. Clini- cal, hemodynamic and procedural data were collected and analyzed for each patient. Covered CP stent was used and mounted on the Balloon-in-Balloon catheter (BIB) in most of the cases. The technique was considered effective if the invasive grade was decrease to 50%. Results: A total of 32 patients had the procedure done with a success rate of 93.4%. Peak gradient across the coarctation fell from 60.0±21.960 to 10.0± 19.821 mmHg post procedure (P, 0.0001). There was no major complications, with no deaths. Systolic blood pressures fell from 164.6±25.889 mmHg to 138.1±17.006 mmHg immedi- ately after stenting and 134.3±12 mmHg at 6 months. No significant complications were seen during procedure and at 6 months follow up. Conclusion: aortic coarctation stent of adults have better fast clinical and angiographic consequences and continued hemodynamic advantages at 6-12 month