Journal of the American College of Cardiology
Volume 58, Issue 25, December 2011 DOI: 10.1016/j.jacc.2011.08.053
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Congenital Heart Disease

Comparison of Surgical, Stent, and Balloon Angioplasty Treatment of Native Coarctation of the Aorta
An Observational Study by the CCISC (Congenital Cardiovascular Interventional Study Consortium)

Thomas J. Forbes, Dennis W. Kim, Wei Du, Daniel R. Turner, Ralf Holzer, Zahid Amin, Ziyad Hijazi, Abdolrahim Ghasemi, Jonathan J. Rome, David Nykanen, Evan Zahn, Collin Cowley, Mark Hoyer, David Waight, Daniel Gruenstein, Alex Javois, Susan Foerster, Jacqueline Kreutzer, Nancy Sullivan, Asra Khan, Carl Owada, Donald Hagler, Scott Lim, Joshua Canter, Thomas Zellers and CCISC Investigators

Table 3

Table 3

Acute Outcomes

Surgery (n = 72)Balloon (n = 61)Stent (n = 217)p Value (2-Sided)
Post-intervention right-arm SBP, mm Hg123 ± 13118 ± 15125 ± 150.002⁎
Discharge ULG7.7 ± 18.210.3 ± 12.94.9 ± 13.20.032
Discharge ULG ≤10 mm Hg64%56%76%0.011⁎
Discharge ULG ≤15 mm Hg73%69%81%0.101
Post-intervention catheterization SBP gradientNA12.4 ± 12.24.8 ± 8.6<0.001⁎
% Increase in coarctation measurement post-interventionNA125%172%0.008⁎
Any complications18.1%†9.8%2.3%<0.001⁎
 Aortic wall injuryUK‡9.8%0.0%<0.001⁎
  Dissection/intimal tearUK‡9.8%0.0%
  AneurysmUK‡0.0%0.0%
 Balloon ruptureNA0.0%0.5%
 Stent migrationNAn/a1.4%
 FemoralUK‡0.0%0.5%
 Atrial fibrillation3%0%0%
 Severe/prolonged hypertension3%0%0%
Length of stay, days6.4/5.03.6/1.02.4/1.0<0.001⁎

Values are mean ± SD, %, or mean/median.

Abbreviations as in Table 2.

  • ↵⁎ p < 0.05.

  • ↵† Complications experienced by surgical patients are severe hypertension, atrial fibrillation, pleural effusion, neurological/spinal cord injury, chylothorax, and vocal cord paralysis.

  • ↵‡ Unknown (UK), as these types of complications are not routinely evaluated for surgical patients.

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