Hemodynamic rounds series II: Left ventricular puncture for hemodynamic evaluation of double prosthetic valve stenosis

Kern, Morton J.

doi:10.1002/(sici)1097-0304(199804)43:4<466::aid-ccd27>3.0.co;2-g

Cited by 8 publications

(2 citation statements)

References 9 publications

(21 reference statements)

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“…It allows simultaneous measurement of LV and aortic pressures and is also suitable for performing a ventriculogram. The overall risk is considered acceptable, with a major complication rate estimated at 3%-4% [21]. Ventricular arrythmias, pneumothorax, transient hypotension, vasovagal symptoms, and inadvertent puncture of the lung, a bronchus, the right ventricle, or the coronary arteries have been reported as potential complications of the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Left ventricular apical puncture: A procedure surviving well into the new millennium

Turgut

Deeb

Moscucci

2000

Cathet. Cardiovasc. Intervent.

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Section: Discussionmentioning

confidence: 99%

“…The use of 18- [21,[23][24][25], 19-[22], and 20-gauge [3] needles has frequently been described in the literature. However, despite its first description as early as 1956 [7], the reliable but forgotten technique of using a 21-gauge needle for the percutaneous left ventricular apical puncture is rarely reported today [5].…”

Section: Discussionmentioning

confidence: 99%

Left ventricular apical puncture: A procedure surviving well into the new millennium

Turgut

Deeb

Moscucci

2000

Cathet. Cardiovasc. Intervent.

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Multivalvular Regurgitant Lesions

Kern¹

2018

Hemodynamic Rounds

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Safety and clinical benefits of transsubxiphoidal left ventricular puncture

Zuguchi

Shindoh

Chida

et al. 2001

Cathet Cardio Intervent

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We performed a transsubxiphoidal LV puncture (TSLVP) to evaluate left ventricular function in 21 patients with both mechanical prosthetic aortic and mitral valves and successfully obtained hemodynamic information on each patient. Analyzing cardiac hemodynamic information and ventriculographic findings obtained with TSLVP, we concluded that seven of the patients required repair of their prosthetic valves. Five of these seven patients agreed to replacement of their valves, whereas two did not. TSLVP was performed adequately and safely without severe complications, suggesting that this maneuver is easier than that of transapical LV puncture and should be recommended for the assessment of left ventricular hemodynamic functions instead of the transapical LV puncture, especially in patients requiring replacement of two valves.

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Hemodynamic rounds series II: Left ventricular puncture for hemodynamic evaluation of double prosthetic valve stenosis

Cited by 8 publications

References 9 publications

Left ventricular apical puncture: A procedure surviving well into the new millennium

Left ventricular apical puncture: A procedure surviving well into the new millennium

Multivalvular Regurgitant Lesions

Safety and clinical benefits of transsubxiphoidal left ventricular puncture

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