Stents in paediatric and adult congenital interventional cardiac catheterization

作者：Hascoet Sebastien^*; Baruteau Alban; Jalal Zakaria; Mauri Lucia; Acar Philippe; Elbaz Meyer; Boudjemline Younes; Fraisse Alain

来源：Archives of Cardiovascular Diseases, 2014, 107(8-9): 462-475.

DOI：10.1016/j.acvd.2014.06.005

• Stent
• Congenital heart diseases
• Paediatric cardiology
• Interventional cardiology
• Bioresorbable stent

A %26apos;stent%26apos; is a tubular meshed endoprosthesis that has contributed to the development of interventional catheterization over the past 30 years. In congenital heart diseases, stents have offered new solutions to the treatment of congenital vessel stenosis or postsurgical lesions, to maintain or close shunt patency, and to allow transcatheter valve replacement. First, stents were made of bare metal. Then, stent frameworks evolved to achieve a better compromise between radial strength and flexibility. However, almost all stents used currently in children have not been approved for vascular lesions in children and are therefore used %26apos;off-label%26apos;. Furthermore, the inability of stents to follow natural vessel growth still limits their use in low-weight children and infants. Recently, bioresorbable stents have been manufactured and may overcome this issue; they are made from materials that may dissolve or be absorbed in the body. In this review, we aim to describe the history of stent development, the technical characteristics of stents used currently, the clinical applications and results, and the latest technological developments and perspectives in paediatric and adult congenital cardiac catheterization.

• 出版日期2014-9
• 单位河南工业大学