Recent advances in endovascular techniques have enabled non-surgical treatment of aortic coarctation by balloon dilatation with or without stenting. Treatment is most often related to anatomic considerations.
For isight stent-graft placement requires (a) adequate vascular access (sufficient diameter of the iliac artery and abdominal aorta without severe tortuosity) and (b) an aortic lesion without excessive tortuosity and whose neck extends more than 15 mm above the celiac artery and is more than 5 mm distal to the left subclavian artery (LSA), without mural thrombus and dilatation. In good surgical candidates, there is controversy regarding which patients should undergo stent-graft placement and which should undergo surgery because the long-term results of endovascular treatment are still unknown.
In poor surgical candidates, stent-graft placement is usually indicated as an elective or emergency procedure for a wide spectrum of pathologic and iatrogenic conditions (4–8).