Balloon Valvuloplasty for Neonatal Critical Pulmonary Valvar Stenosis with IVC Interruption: Pitfalls of the Transumbilical Approach

Kim, Jun Seok; Bae, Eun Jung; Noh, Chung Il

doi:10.3346/jkms.2010.25.3.485

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…The most frequent indication for an alternative route access was severe RV failure, others being femoral vein occlusion, postoperative Glenn shunt and inability to enter the PA via a femoral route 4–8. Kim and colleagues have reported transumbilical BPV in a newborn with critical PS and an interrupted IVC 9. Our case is first such report in literature where transjugular BPV was mandated due to an interrupted IVC.…”

Section: Discussionmentioning

confidence: 58%

An unconventional valvuloplasty: severe pulmonary stenosis with 'candy cane' inferior vena cava

Nath

Rajvanshi²,

Gupta

et al. 2017

BMJ Case Reports

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Femoral vein is the usual approach to balloon pulmonary valvuloplasty (BPV). However, alternative access may be mandated in some peculiar situations. We hereby report a 10-year-old patient with symptomatic severe valvular pulmonary stenosis with interrupted inferior vena cava which was successfully treated with transjugular BPV. Technical considerations for this approach as well as other possible options for such patients are discussed.

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Section: Discussionmentioning

confidence: 58%

An unconventional valvuloplasty: severe pulmonary stenosis with 'candy cane' inferior vena cava

Nath

Rajvanshi²,

Gupta

et al. 2017

BMJ Case Reports

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“…Percutaneous femoral venous access is the most preferred route for BPV (5). Transumbilical route has also been successfully used in neonates (7). A significant number of newborns may not maintain saturations after the procedure.…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

Non-Surgical Management of Ductal Dependent Lesion as a Safe Option: A Case Report and Review of Literature

Alva¹,

Rajan²

2015

J Pediatr Rev

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“…Sequential balloon dilation can be needed in neonates or severe PVS by a different size balloon catheter. 21 On achievement of acceptable pulmonary transvalvular pressure gradient, the balloon catheter, guidewire, and sheath are withdrawn. Nowadays, all this procedure is done by echocardiographic guidance, but previously, this was done by fluoroscopic guidance.…”

Section: Pbpv Proceduresmentioning

confidence: 99%

Percutaneous balloon valvuloplasty of pulmonary valve stenosis: state of the art and future prospects

Talukder¹,

Li²,

Liang³

et al. 2020

Int Surg J

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This study is aimed to delineate readers with an overview of percutaneous balloon pulmonary valvuloplasty (PBPV) of pulmonary valve stenosis (PVS) and highlighting outcome based on influential and recent studies. It has been four decades since Kan et al first introduce PBPV. Since then, PBPV has recognized as a gold standard therapy for PVS of all ages. Nowadays, PBPV is practiced for a broad range of indication such as PVS, PV dysplasia and pulmonary atresia. Typically, PBPV is recommended when gradient across the PV is >50 mmHg. The procedure involves the placement of one or more balloon catheters across the stenotic PV with the guidance of a guidewire; thereafter, inflation of the balloons is done by pressure, thus producing valvotomy. Nowadays, PBPV is done by echocardiographic guidance, but previously, it was done by fluoroscopic guidance. The main disadvantage of fluoroscopy was the radiation injury of patients. The recently recommended balloon/annulus ratio is 1.2 to 1.25. Following the procedure, the dramatic reduction of pressure gradient, free motion of the PV leaflets with less doming, the rise of cardiac output have been noted, whereas complications may occur but are unusual and minimal. Significant predictors of restenosis include balloon/annulus ratio <1.2 and immediate post-PBPV gradient ≥30 mmHg. Only a few percentages of patients needed repeat PBPV. Long-term follow-up results are surprisingly excellent. In conclusion, it is our opinion that PBPV is equally successful in patients of all ages, while worldwide recognized studies prove the safety, feasibility, and effectiveness. However, for early detection of any complication, life-long clinical follow-up is mandatory.

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Balloon Valvuloplasty for Neonatal Critical Pulmonary Valvar Stenosis with IVC Interruption: Pitfalls of the Transumbilical Approach

Cited by 6 publications

References 7 publications

An unconventional valvuloplasty: severe pulmonary stenosis with 'candy cane' inferior vena cava

An unconventional valvuloplasty: severe pulmonary stenosis with 'candy cane' inferior vena cava

Non-Surgical Management of Ductal Dependent Lesion as a Safe Option: A Case Report and Review of Literature

Percutaneous balloon valvuloplasty of pulmonary valve stenosis: state of the art and future prospects

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