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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  kyouindb  KAKEN_id
Makiyama, Takeru  kyouindb  KAKEN_id
Sakata, Yoshihito
Kimura, Takeshi  kyouindb  KAKEN_id
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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