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Balloon angioplasty of aortic coarctation in critically ill newborns using axillary artery access


Department of Paediatric Cardiology, Giovanni XXIII Paediatric Hospital, Bari, Italy

Correspondence Address:
Dr. Giovanni Meliota
Department of Paediatric Cardiology, Giovanni XXIII Paediatric Hospital, Via Amendola 207, 70126 Bari
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_2_19

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Year : 2020  |  Volume : 13  |  Issue : 1  |  Page : 67-71

 

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Balloon angioplasty may be performed as the first treatment of aortic coarctation to stabilize newborns too sick for immediate surgery. The issue of vascular access is the key to the successful treatment of critical newborns. In our study, we argue that the lesser-known axillary access route is the safest and most effective route of vascular access for balloon angioplasty in infants with aortic coarctation. To support this argument, we present the case of eight unstable newborns with complex heart diseases, who were successfully treated with percutaneous intervention through the axillary artery. This case series is followed by an analysis of the greater efficacy of this technique compared to the more conventional femoral and carotid routes. We conclude by acknowledging the substantial advantages of this lesser-known vascular access and advocate its more widespread clinical implementation in the treatment of critical newborns.






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Department of Paediatric Cardiology, Giovanni XXIII Paediatric Hospital, Bari, Italy

Correspondence Address:
Dr. Giovanni Meliota
Department of Paediatric Cardiology, Giovanni XXIII Paediatric Hospital, Via Amendola 207, 70126 Bari
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_2_19

Rights and Permissions

Balloon angioplasty may be performed as the first treatment of aortic coarctation to stabilize newborns too sick for immediate surgery. The issue of vascular access is the key to the successful treatment of critical newborns. In our study, we argue that the lesser-known axillary access route is the safest and most effective route of vascular access for balloon angioplasty in infants with aortic coarctation. To support this argument, we present the case of eight unstable newborns with complex heart diseases, who were successfully treated with percutaneous intervention through the axillary artery. This case series is followed by an analysis of the greater efficacy of this technique compared to the more conventional femoral and carotid routes. We conclude by acknowledging the substantial advantages of this lesser-known vascular access and advocate its more widespread clinical implementation in the treatment of critical newborns.






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