Double balloon aortic valvuloplasty in TAVI era

Insight from intracardiac echocardiography and multidetector computed tomography findings

Taku Inohara, Kentaro Hayashida, Keiichi Fukuda

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Retrograde double-balloon aortic valvuloplasty (DBAV) is a more effective method for decreasing the transvalvular gradient as compared to the conventional single-balloon technique for patients with severe aortic stenosis (AS). However, the potential risk of pressure-induced annulus injury remains a concern. In the present report, we describe a case of severe AS complicated with severe peripheral artery disease that was successfully treated with DBAV using bilateral brachial access. Multidetector computed tomography (MDCT) was used to measure the precise aortic annulus, and the procedure was guided by intracardiac echocardiography (ICE). Our findings suggest that DBAV is an effective method for achieving hemodynamic improvement, and our ICE findings combined with the MDCT measurements support the safety and efficacy of this historical technique.

Original languageEnglish
JournalJournal of Invasive Cardiology
Volume26
Issue number7
Publication statusPublished - 2014

Fingerprint

Balloon Valvuloplasty
Multidetector Computed Tomography
Echocardiography
Aortic Valve Stenosis
Peripheral Arterial Disease
Arm
Hemodynamics
Safety
Pressure
Wounds and Injuries

Keywords

  • aortic stenosis
  • ICE
  • MDCT

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

@article{2cf63758a4b9409ca58b38161d730c4e,
title = "Double balloon aortic valvuloplasty in TAVI era: Insight from intracardiac echocardiography and multidetector computed tomography findings",
abstract = "Retrograde double-balloon aortic valvuloplasty (DBAV) is a more effective method for decreasing the transvalvular gradient as compared to the conventional single-balloon technique for patients with severe aortic stenosis (AS). However, the potential risk of pressure-induced annulus injury remains a concern. In the present report, we describe a case of severe AS complicated with severe peripheral artery disease that was successfully treated with DBAV using bilateral brachial access. Multidetector computed tomography (MDCT) was used to measure the precise aortic annulus, and the procedure was guided by intracardiac echocardiography (ICE). Our findings suggest that DBAV is an effective method for achieving hemodynamic improvement, and our ICE findings combined with the MDCT measurements support the safety and efficacy of this historical technique.",
keywords = "aortic stenosis, ICE, MDCT",
author = "Taku Inohara and Kentaro Hayashida and Keiichi Fukuda",
year = "2014",
language = "English",
volume = "26",
journal = "Journal of Invasive Cardiology",
issn = "1042-3931",
publisher = "HMP Communications",
number = "7",

}

TY - JOUR

T1 - Double balloon aortic valvuloplasty in TAVI era

T2 - Insight from intracardiac echocardiography and multidetector computed tomography findings

AU - Inohara, Taku

AU - Hayashida, Kentaro

AU - Fukuda, Keiichi

PY - 2014

Y1 - 2014

N2 - Retrograde double-balloon aortic valvuloplasty (DBAV) is a more effective method for decreasing the transvalvular gradient as compared to the conventional single-balloon technique for patients with severe aortic stenosis (AS). However, the potential risk of pressure-induced annulus injury remains a concern. In the present report, we describe a case of severe AS complicated with severe peripheral artery disease that was successfully treated with DBAV using bilateral brachial access. Multidetector computed tomography (MDCT) was used to measure the precise aortic annulus, and the procedure was guided by intracardiac echocardiography (ICE). Our findings suggest that DBAV is an effective method for achieving hemodynamic improvement, and our ICE findings combined with the MDCT measurements support the safety and efficacy of this historical technique.

AB - Retrograde double-balloon aortic valvuloplasty (DBAV) is a more effective method for decreasing the transvalvular gradient as compared to the conventional single-balloon technique for patients with severe aortic stenosis (AS). However, the potential risk of pressure-induced annulus injury remains a concern. In the present report, we describe a case of severe AS complicated with severe peripheral artery disease that was successfully treated with DBAV using bilateral brachial access. Multidetector computed tomography (MDCT) was used to measure the precise aortic annulus, and the procedure was guided by intracardiac echocardiography (ICE). Our findings suggest that DBAV is an effective method for achieving hemodynamic improvement, and our ICE findings combined with the MDCT measurements support the safety and efficacy of this historical technique.

KW - aortic stenosis

KW - ICE

KW - MDCT

UR - http://www.scopus.com/inward/record.url?scp=84903946676&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903946676&partnerID=8YFLogxK

M3 - Article

VL - 26

JO - Journal of Invasive Cardiology

JF - Journal of Invasive Cardiology

SN - 1042-3931

IS - 7

ER -