Loading...
Please wait, while we are loading the content...
Use of drug-coated balloon instead of drug-eluting stent for pediatric cardiac allograft vasculopathy.
| Content Provider | Europe PMC |
|---|---|
| Author | Hirose, Masaki Narita, Jun Hashimoto, Kazuhisa Ishii, Ryo Ishida, Hidekazu Ozono, Keiichi |
| Copyright Year | 2023 |
| Abstract | Cardiac allograft vasculopathy (CAV) sometimes leads to restenosis, even after percutaneous transcatheter intervention. Recently, drug-coated balloons (DCBs) have been successfully used to treat coronary artery disease, especially CAVs, in adults. However, no studies have used DCBs in pediatric CAVs. We encountered a patient with CAV who underwent cardiac transplantation for restrictive cardiomyopathy at the age of 2 years. Nine years after the transplantation, severe stenosis of the proximal left anterior descending branch was observed. Considering the patient’s young age and the possibility of restenosis, we performed an intervention with DCB. Follow-up conducted 7 months after the intervention showed no restenosis. Cardiac coronary artery lesions following transplantation are more likely to result in restenosis earlier than arteriosclerotic lesions. In pediatric patients, restenosis might require multiple stents and prolonged antiplatelet therapy. Our findings provide evidence supporting the possibility of an effective treatment of CAV in children. |
| ISSN | 09742069 |
| Journal | Annals of Pediatric Cardiology |
| Volume Number | 16 |
| PubMed Central reference number | PMC10243651 |
| Issue Number | 1 |
| PubMed reference number | 37287837 |
| e-ISSN | 09745149 |
| DOI | 10.4103/apc.apc_47_22 |
| Language | English |
| Publisher | Wolters Kluwer - Medknow |
| Publisher Date | 2023-01-01 |
| Publisher Place | India |
| Access Restriction | Open |
| Rights License | This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2023 Annals of Pediatric Cardiology |
| Subject Keyword | Cardiac allograft vasculopathy drug-coated balloon drug-eluting stent pediatric heart transplantation percutaneous coronary intervention |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Cardiology and Cardiovascular Medicine |