First clinical experience of the looped Inoue balloon technique for antegrade percutaneous balloon aortic valvuloplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-07-16

AUTHORS

Mariko Yano, Naritatsu Saito, Shin Watanabe, Hirotoshi Watanabe, Ryusuke Nishikawa, Takeshi Fujino, Bingyuan Bao, Erika Yamamoto, Hiroki Watanabe, Kenji Nakatsuma, Masao Imai, Takeru Makiyama, Yoshihito Sakata, Takeshi Kimura, Kanji Inoue

ABSTRACT

Balloon aortic valvuloplasty (BAV) has played a limited role in the management of patients with severe aortic stenosis. However, BAV is being performed more frequently these days with the emergence of transcatheter aortic valve implantation (TAVI). We previously described a technique named “looped Inoue balloon technique” to simplify the antegrade transvenous BAV by making a loop in the left atrium using two stylets. We present a case in which the looped Inoue balloon technique was successfully applied. The patient was an 83-year-old woman with progressive dyspnea due to severe aortic stenosis. The aortic valve area was 0.39 cm2 with a mean transvalvular gradient of 46 mmHg. The patient was deemed high risk for surgical aortic valve replacement or TAVI in view of the multiple comorbidities and frailty. Antegrade BAV using the looped Inoue balloon technique was performed. The procedure was successful without any complications. The post procedural aortic valve area increased to 1.15 cm2 with a mean pressure gradient of 23 mmHg. This is the first report of clinical use of the looped Inoue balloon technique for antegrade BAV. More... »

PAGES

830-834

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00380-014-0552-1

DOI

http://dx.doi.org/10.1007/s00380-014-0552-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034214653

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25028168


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