Background.-Many stents are used off-label during the management of congenital heartdiseases (CHD).Aims.-To describe indications for, results of, and adverse events associated with stenting inCHD in current practice.Methods.-Participation in this study was proposed to all catheterization laboratories thatspecialize in CHD in France (M3C network). All paediatric and adult CHD cases with stentimplantation in 2013 were included retrospectively.Results.-Overall, 207 stents were implanted in 151 patients across 11 centres. Median age was13.7 years (range, 5 days to 70.1 years). Main procedure indications were branch pulmonaryartery angioplasty (n = 46, 29.1%), aortic (re)coarctation stenting (n = 43, 27.2%), percutaneouspulmonary valve implantation (n = 32, 20.2%) and ductus arteriosus stenting (n = 14, 8.9%). Themain stents implanted were the CP StentTM(n = 61, 29.5%), the MaxTMLD stent (n = 43, 20.8%),the Valeo® stent (n = 28, 13.5%) and valved stents (n = 30, 14.5%). Procedures were consideredsuccessful in 96.8% of cases (95% confidence interval [CI] 92.8-99.0%). Adverse events wereobserved in 23 procedures (14.7%, 95% CI 9.5-21.0%). Ductus arteriosus stenting (odds ratio12.4, 95% CI 2.0-77.5; P < 0.01) and pulmonary revalvulation (odds ratio 5.9, 95% CI 1.1-32.3;P = 0.04) were risk markers for stent-related adverse events.Conclusions.-Stents are used in various CHD catheterization procedures, from infancy to adultage. The adverse events rate is significant and is related to the type of procedure.
S., H., Z., J., A., B., L., M., A., C., I., B., … A., F. (2015). Stenting in paediatric and adult congenital heart diseases: A French multicentre study in the current era. Archives of Cardiovascular Diseases, 108(12), 650–660. https://doi.org/10.1016/j.acvd.2015.07.002 LK - http://sfx.library.uu.nl/utrecht?sid=EMBASE&issn=18752128&id=doi:10.1016%2Fj.acvd.2015.07.002&atitle=Stenting+in+paediatric+and+adult+congenital+heart+diseases%3A+A+French+multicentre+study+in+the+current+era&stitle=Arch.+Cardiovasc.+Dis.&title=Archives+of+Cardiovascular+Diseases&volume=108&issue=12&spage=650&epage=660&aulast=Hasco%C3%ABt&aufirst=Sebastien&auinit=S.&aufull=Hasco%C3%ABt+S.&coden=&isbn=&pages=650-660&date=2015&auinit1=S&auinitm=