ONE-POINT ADVICE: The Limitations and Potential of MICS During Aortic Valvuloplasty

2019 ◽  
pp. 99-101
Author(s):  
Toshiaki Ito
Keyword(s):  
Aortic Valvuloplasty

A Novel Approach: Trans-ascending Aorta Balloon Aortic Valvuloplasty via Sternotomy for Treating Severe Valvular Aortic Stenosis in a Low-Weight Infant

2014 ◽  
Vol 17 (1) ◽  
pp. 25 ◽  
Author(s):  
Lei Gao ◽  
Qin Wu ◽  
Xinhua Xu ◽  
Tianli Zhao ◽  
Wancun Jin ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Transesophageal Echocardiography ◽  
Severe Aortic Stenosis ◽  
Ascending Aorta ◽  
Balloon Aortic Valvuloplasty ◽  
Congenital Aortic Stenosis ◽  
Novel Approach ◽  
Low Weight ◽  
Aortic Valvuloplasty ◽  
Peak Gradient

<p><b>Background:</b> Severe congenital aortic stenosis in infants is a life-threatening congenital heart anomaly that is typically treated using percutaneous balloon aortic valvuloplasty.</p><p><b>Methods:</b> The usual route is the femoral artery under radiographic guidance. However, this procedure may be limited by the small size of the femoral artery in low-weight infants. An infant weighing only 7 kg with severe aortic stenosis (peak gradient was 103 mmHg) was successfully treated with a novel approach, that is trans-ascending aorta balloon aortic valvuloplasty guided by transesophageal echocardiography.</p><p><b>Results:</b> The patient tolerated the procedure well, and no major complications developed. After the intervention, transesophageal echocardiography indicated a significant reduction of the aortic valvular peak gradient from 103 mmHg to 22 mmHg, no aortic regurgitation was found. Eighteen months after the intervention, echocardiography revealed that the aortic valvular peak gradient had increased to 38 mmHg and that still no aortic regurgitation had occurred.</p><p><b>Conclusions:</b> In our limited experience, trans-ascending aorta balloon aortic valvuloplasty for severe aortic stenosis under transesophageal echocardiography guidance effectively reduces the aortic peak gradient. As this is a new procedure, long-term follow up and management will need to be established. It may be an alternative technique to treat congenital aortic stenosis in low-weight patients.</p>

scholarly journals 153 Balloon aortic valvuloplasty: insights into subsequent treatments and long term outcome

2011 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Karim Bejar ◽  
Ali Farhat ◽  
Bogdan Borz ◽  
Mathieu Godin ◽  
Carlos Sanchez Giron ◽  
...  
Keyword(s):  
Balloon Aortic Valvuloplasty ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Aortic Valvuloplasty

scholarly journals HEMODYNAMIC AND ANATOMIC CHANGES AFTER FETAL AORTIC VALVULOPLASTY ARE ASSOCIATED WITH PROCEDURAL SUCCESS AND POSTNATAL BIVENTRICULAR CIRCULATION

2021 ◽  
Vol 77 (18) ◽  
pp. 442
Author(s):  
Victoria Robson ◽  
Wayne Tworetzky ◽  
Ryan Callahan ◽  
Louise Wilkins-Haug ◽  
Carol Benson ◽  
...  
Keyword(s):  
Aortic Valvuloplasty ◽  
Procedural Success

scholarly journals Aortic Valvuloplasty for Cusp Perforation Caused by Kawasaki Disease

2021 ◽  
Author(s):  
Yukiko Yamada ◽  
Fumiaki Shikata ◽  
Ryuhei Yamamoto ◽  
Ryusuke Numata ◽  
Satoshi Yasukochi ◽  
...  
Keyword(s):  
Kawasaki Disease ◽  
Aortic Valvuloplasty

scholarly journals Safety and feasibility of retrograde inoue balloon for balloon aortic valvuloplasty without rapid ventricular pacing during transcatheter aortic valve implantation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Ninomiya ◽  
M Ishida ◽  
K Tosaka ◽  
N Kanehama ◽  
Y Ishikawa ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Cardiopulmonary Arrest ◽  
Ventricular Pacing ◽  
Balloon Aortic Valvuloplasty ◽  
Transcatheter Aortic Valve ◽  
Aortic Valvuloplasty ◽  
Prolonged Hypotension ◽  
Rapid Ventricular Pacing ◽  
Inoue Balloon ◽  
Valve Implantation

Abstract Background Although rapid ventricular pacing (RVP) is commonly performed for preparation of transcatheter aortic valve implantation (TAVI). It has been reported that multiple and / or prolonged RVP is associated with adverse clinical outcomes of TAVI. Retrograde Inoue-Balloon was designed for balloon aortic valvuloplasty (BAV) without RVP to prevent slip of balloon by way of central waist during biphasic inflation. Purpose The purpose of this study was to evaluate safety and feasibility of Retrograde Inoue-Balloon for TAVI preparation. Methods From December 2013 to December 2019, 427 consecutive patients who performed TAVI for severe aortic valve stenosis, were retrospectively enrolled in Iwate Medical University. Of them, 227 (53%) patients (mean age 83±5 years, male 41%), underwent retrograde BAV before prosthetic valve implantation, comprised this study population. Retrograde BAV procedures were divided into two groups; patients used Inoue-Balloon without RVP and those did conventional balloon with RVP. The primary endpoint was defined as combined adverse events of 30-day mortality, cerebral infarction, and critical complications after BAV (aortic dissection, aortic rupture and cardiopulmonary arrest). The secondary endpoint was set as prolonged hypotension after BAV. Result Inoue-Balloon (IB) and conventional balloon (CB) were used for 73 patients (32%) and 154 (68%) patients, respectively. Both balloons were succeeded to through and expand of aortic valve in all cases. In the CB group, cardiopulmonary arrest occurred in 2.0% after BAV, cerebral infarction was observed in 3.9%, and 30-day death in 3.3%. On the other hand, no major complications were observed except one aortic dissection in the IB group. In logistic regression analysis adjusted by sex and age, the incidence of combined adverse events was significantly lower in the IB group (OR 0.17, 95% CI 0.009–0.917, P=0.037). Furthermore, the IB group had significantly a lower incidence of prolonged hypotension following BAV compared with CB group (4.1% vs 19.5%, p=0.002). Conclusion Balloon aortic valvuloplasty using retrograde Inoue-balloon without rapid ventricular pacing is safe and feasible, and may improve clinical outcomes of TAVI. Funding Acknowledgement Type of funding source: None

scholarly journals IMPELLA CP-ASSISTED BALLOON AORTIC VALVULOPLASTY IN PATIENT WITH BICUSPID AORTIC VALVE IN CARDIOGENIC SHOCK

2021 ◽  
Vol 77 (18) ◽  
pp. 2384
Author(s):  
Linle Hou ◽  
Ibrahim Ali ◽  
Arvind Reddy Devanabanda ◽  
Rajiv Jauhar ◽  
Perwaiz Meraj ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Cardiogenic Shock ◽  
Bicuspid Aortic Valve ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty
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