علاج تضيق الأبهر في ارتفاع ضغط الدم

DOI: 10.1093/eurheartj/ehae179

• It is recommended to treat hypertension in patients with coarctation according to ESC hypertension guidelines.
• Coarctation or re-coarctation repair (either surgical or endovascular) is indicated in patients with hypertension with an increased non-invasive gradient between the upper and lower limbs (decreased ABI) confirmed with invasive measurement (peak-to-peak >20 mmHg), with a preference for stenting when technically feasible.
• In native CoA and re-coarctation covered stenting is the first-choice treatment.
• Interposition of a tube graft is the preferred surgical therapy if stenting is less suitable.