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Title: | First clinical experience of the looped Inoue balloon technique for antegrade percutaneous balloon aortic valvuloplasty. |
Authors: | Yano, Mariko Saito, Naritatsu Watanabe, Shin Watanabe, Hirotoshi ![]() ![]() ![]() Nishikawa, Ryusuke Fujino, Takeshi Bao, Bingyuan Yamamoto, Erika Watanabe, Hiroki Nakatsuma, Kenji Imai, Masao ![]() ![]() Makiyama, Takeru ![]() ![]() Sakata, Yoshihito Kimura, Takeshi ![]() ![]() Inoue, Kanji |
Author's alias: | 齋藤, 成達 |
Keywords: | Balloon aortic valvuloplasty Aortic valve stenosis Structural heart disease |
Issue Date: | Nov-2015 |
Publisher: | Springer Japan |
Journal title: | Heart and vessels |
Volume: | 30 |
Issue: | 6 |
Start page: | 830 |
End page: | 834 |
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 cm(2) 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 cm(2) 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. |
Rights: | The final publication is available at Springer via http://dx.doi.org/10.1007/s00380-014-0552-1. The full-text file will be made open to the public on 1 November 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/2433/207524 |
DOI(Published Version): | 10.1007/s00380-014-0552-1 |
PubMed ID: | 25028168 |
Appears in Collections: | Journal Articles |

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