Real-time transesophageal echocardiography facilitates antegrade balloon aortic valvuloplasty

Shimada, Yoshihisa; Ito, Kazato; Yano, Kentarô; Tanaka, Chiharu; Nakashoji, Tomohiro; Tonomura, Daisuke; Takehara, Kosuke; Kino, Naoto; Yoshida, Masahiro; Kurotobi, Toshiya; Tsuchida, Takao; Fukumoto, Hitoshi

doi:10.21037/cdt.2015.10.07

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Furthermore, trans-esophageal or intra-cardiac echocardiography gives clear real-time imaging during the procedure. 17 , 21 In the present BAV procedure, we used AcuNav via the jugular or femoral veins, and observed aortic valves, trans-septal puncture, aortic regurgitation, pericardial effusion, and the balloon catheter positioning without anesthesia. As with imaging-guided percutaneous coronary intervention, imaging-guided BAV will become the mainstream procedure for adequate and safe performance.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Impact of the Clinical Frailty Scale After Balloon Aortic Valvuloplasty

et al. 2020

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Background:The clinical frailty scale (CFS) predicts late mortality in patients undergoing transcatheter aortic valve replacement. We evaluated the CFS and other parameters associated with 1-year mortality after balloon aortic valvuloplasty (BAV). patients with severe aortic stenosis (AS) who underwent BAV at the present hospital were enrolled. We recorded pre-procedural CFS grade, baseline characteristics, echocardiographic, and hemodynamic parameters. To investigate the potential risk to patients before BAV, we evaluated the Society of Thoracic Surgeons (STS) score. After patients who underwent surgical aortic valve replacement, transcatheter aortic valve replacement or repeat BAV were excluded, we investigated 1-year survival. Of 127 patients, 41 (32.3%) died ≤1 year after BAV, 8 of whom (19.5% of all-cause deaths) had cardiac deaths. Higher grade of CFS and STS score significantly correlated with 1-year mortality. Severe frailty and the high operative risk group (CFS ≥7 and STS score ≥8.7%) had an extremely poor prognosis (1-year mortality, 81.2%). Conclusions:In this BAV cohort, severe frailty was a predictor of 1-year mortality in elderly patients with severe AS.

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Section: Discussionmentioning

confidence: 99%

Prognostic Impact of the Clinical Frailty Scale After Balloon Aortic Valvuloplasty

et al. 2020

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“…Moreover, the antegrade transseptal approach of BAV has the potential to decrease vascular complications such as stroke by avoiding catheter manipulation in a severely atherosclerotic calcified ascending aorta as compared with the retrograde approach. 14- 18 The objective of this single-center, retrospective, observational study was to investigate the short-term efficacy and safety of biplane-TEE guided antegrade transseptal multiple-inflation BAV.…”

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confidence: 99%

Safety and Efficacy of Simultaneous Biplane Mode of 3-Dimensional Transesophageal Echocardiography-Guided Antegrade Multiple-Inflation Balloon Aortic Valvuloplasty in Patients With Severe Aortic Stenosis

Mizutani

Hara

Ishikawa

et al. 2017

Circ J

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Background: Balloon aortic valvuloplasty (BAV) is resurging as a bridge treatment in patients with severe aortic stenosis (AS) with a dissemination of transcatheter aortic valve implantation. However, the significantly high periprocedural mortality and complication rates still limit the indications of BAV. Further efforts are needed to improve the safety and efficacy of BAV. Methods and Results:We retrospectively investigated the safety and efficacy of simultaneous biplane mode of 3-dimensional transesophageal echocardiography (biplane-TEE) guided antegrade transseptal multiple-inflation BAV, with gradual upsizing of the balloon, by enrolling 20 consecutive AS patients who underwent BAV. The median age was 83 years, and there were 6 male patients (30.0%). The clinical frailty scale was 4, and the Society of Thoracic Surgeon score was 14.5%. The balloon was inflated at a median of 18 times, which improved the mean aortic valve pressure gradient from 43.0 to 15.2 mmHg (P<0.001). We safely performed BAV in all patients, without periprocedural death or symptomatic stroke, although asymptomatic stroke was detected in 8 patients (42.1%) on diffusion-weighted magnetic resonance imaging. Kaplan-Meier estimates showed that the survival rate was 84.0% and cardiovascular death-free survival was 88.9% at 1-year. Conclusions:Biplane-TEE guided antegrade multiple-inflation BAV might have the potential to improve periprocedural survival without increasing complications, compared with conventional retrograde BAV in patients with severe AS.

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Imaging Guidance for Transcatheter Aortic Valve Replacement: Is Transoesophageal Echocardiography the Gold Standard?

Mottram

Lockwood

et al. 2017

Heart, Lung and Circulation

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Real-time transesophageal echocardiography facilitates antegrade balloon aortic valvuloplasty

Cited by 3 publications

References 14 publications

Prognostic Impact of the Clinical Frailty Scale After Balloon Aortic Valvuloplasty

Prognostic Impact of the Clinical Frailty Scale After Balloon Aortic Valvuloplasty

Safety and Efficacy of Simultaneous Biplane Mode of 3-Dimensional Transesophageal Echocardiography-Guided Antegrade Multiple-Inflation Balloon Aortic Valvuloplasty in Patients With Severe Aortic Stenosis

Imaging Guidance for Transcatheter Aortic Valve Replacement: Is Transoesophageal Echocardiography the Gold Standard?

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