Axillary artery access for stenting of aortic coarctation in a 1.2 kg premature newborn with malignant systemic hypertension: a case report. Issue 2 (24th December 2020)

• Record Type: Journal Article
• Authors: Esmaeili, Anoosh; Schrewe, Roland; Wong, Flora; Schranz, Dietmar
• Editors: Krupickova, Sylvia; Houshmand, Golnaz; Khan, Arif Anis; Krupickova, Sylvia; Vamvakidou, Anastasia; Ranganathan, Deepti
• Is Part Of: European heart journal. Volume 5:Issue 2(2021)
• Publication Date: 2020-12-24
• Subjects: Premature newborn -- Coarctation -- Malignant hypertension -- Coarctation stenting -- Axillary access -- Case report; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytaa554
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background : Axillary artery access is rarely used for demanding percutaneous transcatheter interventions. However, there are many clear advantages. Case summary : We describe this attractive approach in a 3-week-old premature neonate (bodyweight of 1.2 kg) with severe aortic coarctation. Percutaneous transcatheter intervention was performed with analgo-sedation and local anaesthesia; and a coronary stent was placed with a low fluoroscopy time of 2 min. Malignant systemic hypertension (160/54 mmHg) was effectively treated without any residual blood pressure gradient, with the aim for definitive surgery with stent resection and end-to-end anastomosis at the age of 6–12 months. Discussion : Axillary artery access is an attractive, alternative approach to treat newborns and premature infants with low body weight with complex heart diseases.