Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement
المؤلفون المشاركون
Ott, Ilka
Schunkert, Heribert
Kastrati, Adnan
Shivaraju, Anupama
Thilo, Christian
Sawlani, Neal
von Scheidt, Wolfgang
Kasel, Albert Markus
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-04-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives.
The aim of this study is to assess the feasibility and clinical outcome of transcatheter aortic valve replacement (TAVR) using aortic valve predilatation (AVPD) with a small, nonocclusive balloon.
Background.
Balloon aortic valvuloplasty (BAV) under rapid pacing is generally performed in TAVR to ensure the passage and sufficient deployment of the prosthesis in the stenotic AV.
BAV may cause serious complications, such as left ventricular stunning or cerebrovascular embolism.
Methods.
A cohort of 50 consecutive patients with severe aortic stenosis underwent transfemoral TAVR with the Edwards Sapien 3-heart valve.
All patients underwent AVPD with a small, nonocclusive balloon (12 × 60 or 14 × 60 mm) without rapid pacing.
Procedural data and clinical outcomes were analyzed.
Results.
The mean age of the cohort was 81±6 years and the mean logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) was 13±9.
Crossing the AV and prosthesis implantation was successful in all cases.
The postprocedural mean AV gradient was 12±5 mmHg.
There were no cases of aortic regurgitation ≥ grade 2.
No periprocedural stroke occurred.
One patient (2%) with chronic atrial fibrillation displayed a transient Wernicke aphasia occurring more than 24 hours after TAVR.
Mortality was 0% at 30 days after procedure.
Conclusion.
In TAVR, AVPD with a small, nonocclusive balloon can be safely performed.
By avoiding rapid pacing, this technique may be a valid alternative to traditional BAV.
Whether or not the use of APVD without rapid pacing translates into less periprocedural complications needs to be assessed in future studies.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shivaraju, Anupama& Thilo, Christian& Sawlani, Neal& Ott, Ilka& Schunkert, Heribert& von Scheidt, Wolfgang…[et al.]. 2018. Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement. BioMed Research International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1124149
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shivaraju, Anupama…[et al.]. Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement. BioMed Research International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1124149
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shivaraju, Anupama& Thilo, Christian& Sawlani, Neal& Ott, Ilka& Schunkert, Heribert& von Scheidt, Wolfgang…[et al.]. Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1124149
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1124149
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر