Impella implantation as a rescue strategy in balloon aortic valvuloplasty complicated by acute aortic regurgitation

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marco B. Ancona ◽  
Ciro Vella ◽  
Alessandro Beneduce ◽  
Francesco Moroni ◽  
Francesco Ancona ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

scholarly journals TCT-871 Leveraging Preparatory Balloon Aortic Valvuloplasty (BAV) During TAVI for Improved Valve Sizing – A simple way to reduce Paravalvular Aortic Regurgitation (PAR)?!

2012 ◽  
Vol 60 (17) ◽  
pp. B252
Author(s):  
Polykarpos Christos Patsalis ◽  
Fadi Al-Rashid ◽  
Bjoern Plicht ◽  
Matthias Riebisch ◽  
Daniel Wendt ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

Influence of Balloon Size on Aortic Regurgitation in Neonates Undergoing Balloon Aortic Valvuloplasty-A Retrospective Study Over an 11-Year Period

2013 ◽  
Vol 26 (2) ◽  
pp. 200-207 ◽  
Author(s):  
LAILA HAMIDI-MANESH ◽  
SHANE M. TIBBY ◽  
ROSIE HERMAN ◽  
ERIC ROSENTHAL ◽  
SHAKEEL A. QURESHI ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty ◽  
Balloon Size

scholarly journals The Immediate And Intermediate Results Of Percutaneous Balloon Aortic Valvuloplasty In Patients With Congenital Valvular Aortic Stenosis

2019 ◽  
Vol 13 (2) ◽  
pp. 51-55
Author(s):  
Hussein A. Alwahab
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Pressure Gradient ◽  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Maximum Peak ◽  
Percutaneous Balloon ◽  
Aortic Valvuloplasty ◽  
Valvular Aortic Stenosis

Background: Aortic valve stenosis results from minor to severe degrees of aortic valve maldevelopment. This stenosis causes mild to severe obstruction of the left ventricular outflow . Objectives : to study the immediate and intermediate results of percutaneous balloon aortic valvuloplasty in patients with congenital valvular aortic stenosis . Type of the study: A prospective study. Methods: The study was done on thirty five patients with congenital valvular aortic stenosis who had percutaneous balloon aortic valvuloplasty  in Ibn Al- Bitar Center for Cardiac Surgery from May 2009 to February 2011. Results: Twenty seven patients were male (77.2%) and 8 patients were female (22.8%), male to female ratio 3.5/ 1, . The aortic valve was bicuspid in 18 patients (51.4%) while 17 patients ( 48.6%) had tricuspid aortic valve. Balloon aortic valvuloplasty was successful in 30 patients (85.7%),. Maximum peak instantaneous Doppler pressure gradient across the aortic valve 24 hours postprocedural echocardiography showed reduction which is statistically significant. New aortic regurgitation had occurred in 15 patients ( 42.8%), it was mild in 9 patients ( 25.6%), moderate in 5 patients ( 14.3%) and severe in 1 patient( 2.9%) which is statistically significant. The follow up of 12.57 ± 3.88 ( 3- 22) months after intervention was done for all patients using echocardiography Doppler study, reveal the maximum peak instantaneous Doppler pressure gradient  across the aortic valve was raised  which is statistically significant. The aortic regurgitation was present in 18 patients (51.4%) , it was mild in 9 patients (25.7%) , moderate in 6 patients (17.1%) and severe in 3 patients  ( 8.6%). No mortality had been reported during the procedure or on follow up.                                                                                  Conclusion: Aortic balloon valvuloplasty is safe and effective procedure in the treatment of congenital valvular aortic stenosis but mild aortic regurgitation is the most common immediate complication of aortic balloon dilatation and progressive aortic regurgitation is a major problem during the intermediate follow up.                                                                                                                                               

scholarly journals Severe aortic regurgitation and pulmonary hypertension in an 18-year-old patient after balloon aortic valvuloplasty (RCD code: IV-5.A2)

2016 ◽  
Vol 2 (6) ◽  
Author(s):  
Paweł Jan Prochownik ◽  
Monika Komar ◽  
Natasza Herman ◽  
Urszula Gancarczyk ◽  
Bartosz Sobień ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Severe Aortic Regurgitation ◽  
Aortic Valvuloplasty

Quantification of aortic regurgitation after balloon aortic valvuloplasty using videodensitometric analysis of digital subtraction aortography

1989 ◽  
Vol 63 (9) ◽  
pp. 585-588 ◽  
Author(s):  
Charles J. Davidson ◽  
Katherine Kisslo ◽  
Robert Burgess ◽  
Thomas M. Bashore
Keyword(s):  
Aortic Regurgitation ◽  
Digital Subtraction ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

Rapid right ventricular pacing for balloon aortic valvuloplasty: expanding its routine use in neonates and infants

2020 ◽  
Vol 30 (12) ◽  
pp. 1890-1895
Author(s):  
Konstantinos S. Mylonas ◽  
Charalampos Kavvouras ◽  
Panagiota Karouli ◽  
Dimosthenis Avramidis ◽  
Ioannis Papagiannis ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Aortic Regurgitation ◽  
Left Ventricular ◽  
Ventricular Pacing ◽  
Balloon Aortic Valvuloplasty ◽  
Right Ventricular Pacing ◽  
Group I ◽  
Aortic Valvuloplasty ◽  
Group Ii ◽  
Neonates And Infants

AbstractObjective:Rapid right ventricular pacing during balloon aortic valvuloplasty is commonly used to achieve balloon stability in children and adults. There is no consensus for the use of the technique in neonates and infants. We sought to review our institutional experience with rapid right ventricular pacing-assisted balloon aortic valvuloplasty across all age groups and evaluate the safety and effectiveness of the technique in the sub-group of neonates and infants <12months.Methods:Retrospective study between February, 2011 and February, 2020.Results:A total of 37 patients (Group I: 21 neonates/infants <12months and Group II: 16 children 12 months–16 years) were analysed. Catheter-measured left ventricular to aortic gradient reduced from median of 66 mmHg (with a range from 30 to 125 mmHg) to 14 mmHg (with a range from 5 to 44 mmHg) in Group I and 44 mmHg (with a range from 28 to 93 mmHg) to 18 mmHg (with a range from 2 to 65 mmHg) in Group II (p < 0.001). Procedure and fluoroscopy times were identical in the two groups. Balloon:annulus ratio was 0.94 and 0.88 in Groups I and II, respectively. Freedom from reintervention was 100% for Group I at a median time of 3.2 years and 81% at 2.7 years for Group II. Reinterventions in Group II (3/16 pts) were performed predominantly for complex left ventricular outflow tract stenosis. At follow-up echocardiogram, 45% of patients in Group I had no aortic regurgitation, 30% trace-mild, 20% mild-moderate, and 5% moderate aortic regurgitation, whereas in Group II, 50% of patients had no aortic regurgitation, 32% had mild aortic regurgitation, and 18% mild-moderate aortic regurgitation. Unicuspid valves were only encountered in Group 1 (2/21 pts, 10%) and they were predictive of mild-aortic regurgitation during follow-up (p = 0.003). Ventricular fibrillation occurred in three neonates with suspicion of myocardial ischemia on the pre-procedure echocardiogram. All were successfully defibrillated.Conclusions:Rapid right ventricular pacing can be expanded in neonates and infants to potentially decrease the incidence of aortic regurgitation and reintervention rates, hence avoiding high-risk surgical bail-out procedures for severe aortic regurgitation in the first year of life. Myocardial ischemia may predispose to ventricular dysrhythmias during rapid right ventricular pacing.

Transient acute severe aortic regurgitation complicating balloon aortic valvuloplasty

1989 ◽  
Vol 17 (3) ◽  
pp. 186-189 ◽  
Author(s):  
Ara Sadaniantz ◽  
Rahul Malhotra ◽  
Kenneth S. Korr
Keyword(s):  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Severe Aortic Regurgitation ◽  
Aortic Valvuloplasty

Acute aortic regurgitation and hemodynamic collapse after balloon aortic valvuloplasty

2014 ◽  
Vol 171 (1) ◽  
pp. 88-89 ◽  
Author(s):  
Sasa Loncar ◽  
Gidon Perlman ◽  
David Planer ◽  
Yuval Meroz ◽  
Dan Gilon ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

Results of Balloon Aortic Valvuloplasty in Patients with Aortic Stenosis Associated with Significant Aortic Regurgitation

1993 ◽  
Vol 6 (3) ◽  
pp. 207-211 ◽  
Author(s):  
RENÉ KONING ◽  
CLAUDINE ASSELIN ◽  
NADIR SAOUDI ◽  
CHARLES CHAN ◽  
GENEVIÈVE DERUMEAUX ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Aortic Regurgitation ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty
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