Interdigitating Technique for Repair of Aortic Arch Obstruction to Reduce Reintervention Rates.

ABSTRACT:

Background

The incidence of reintervention for aortic arch obstruction is 5% to 14% after coarctation or hypoplastic aortic arch repair and 25% after the Norwood procedure. Institutional practice review indicated higher than reported reintervention rates. Our aim was to assess the impact of an interdigitating reconstruction technique on reintervention rates for recurrent aortic arch obstruction.

Methods

Children (<18 years) were included if they had undergone aortic arch reconstruction by sternotomy or the Norwood procedure. Three surgeons participated in the intervention with staggered rollout dates between June 2017 and January 2019, with the study ending December 2020 and review for reinterventions ending February 2022. Preintervention cohorts represented patients who und

SUBMITTER: Winder MM 

PROVIDER: S-EPMC10764635 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature