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Title: | Successful balloon aortic valvuloplasty as a bridge therapy to transcatheter aortic valve implantation during the proctoring period |
Authors: | Yanagisawa, Hiromu Saito, Naritatsu ![]() ![]() ![]() Imai, Masao Minakata, Kenji Fujita, Takanari Watanabe, Shin Watanabe, Hirotoshi ![]() ![]() ![]() Yamazaki, Kazuhiro Toyota, Toshiaki Taniguchi, Tomohiko Tazaki, Junichi ![]() ![]() Shizuta, Satoshi Daijo, Hiroki Sakata, Ryuzo Kimura, Takeshi |
Author's alias: | 齋藤, 成達 |
Keywords: | Balloon aortic valvuloplasty Transcatheter aortic valve implantation Transcatheter aortic valve replacement |
Issue Date: | Oct-2015 |
Publisher: | Elsevier Ltd. |
Journal title: | Journal of Cardiology Cases |
Volume: | 12 |
Issue: | 4 |
Start page: | 113 |
End page: | 116 |
Abstract: | In Japan, transcatheter aortic valve implantation (TAVI) with Edwards-SAPIEN XT valve (Edwards Lifesciences Inc., Irvine, CA, USA) started in October 2013. All institutions should undergo a training period to perform TAVI independently. Balloon aortic valvuloplasty (BAV) as a bridge to TAVI during the training period should be performed with caution to avoid severe aortic regurgitation (AR) because bailout TAVI is not possible. We present a case in which BAV was successfully performed as a bridge to TAVI during the training period. The patient was an 85-year-old man with medically uncontrollable congestive heart failure due to severe aortic valve stenosis. The aortic valve area was 0.60 cm2 with a left ventricular ejection fraction of 20%. TAVI was considered a safe but high-risk strategy owing to the unstable hemodynamic condition. We chose BAV as a bridge therapy to TAVI. The aortic annulus diameter was 25.3 mm on computed tomography scans. We chose a 20-mm balloon catheter to avoid BAV-induced AR. Transfemoral TAVI was performed successfully 16 days after BAV using a 26-mm SAPIEN XT valve. The postoperative course was uneventful. The case demonstrated BAV as a bridge therapy to TAVI can be safely and effectively performed during the training period. |
Rights: | © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ The full-text file will be made open to the public on 1 October 2016 in accordance with publisher's 'Terms and Conditions for Self-Archiving'. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/203022 |
DOI(Published Version): | 10.1016/j.jccase.2015.05.006 |
Appears in Collections: | Journal Articles |

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