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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  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0001-9219-5279 (unconfirmed)
Imai, Masao
Minakata, Kenji
Fujita, Takanari
Watanabe, Shin
Watanabe, Hirotoshi  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0002-9443-5915 (unconfirmed)
Yamazaki, Kazuhiro
Toyota, Toshiaki
Taniguchi, Tomohiko
Tazaki, Junichi  kyouindb  KAKEN_id
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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