Impact of rapid ventricular pacing during percutaneous balloon aortic valvuloplasty in patients with critical aortic stenosis: Should we be using it?

Abstract

1) RP allows precise balloon placement during BAV. 2) RP BAV is associated with lower post-BAV AVA. 3) RP BAV may be safely performed in patients with high-risk cardiac features.

Balloon valvuloplasty in adults with severe aortic stenosis

“…позволяет более четко позициониро-вать баллон. Данное дополнение увеличило эффектив-ность и уменьшило риски осложнений операции [32]. Также одним из новшеств методики является определе-ние сократительного резерва миокарда до операции.…”

“…Ventricular pacing with decrease of arterial pressure to 50-70 mm Hg allows to position balloon clearer. This addition increased efficiency and decreased risk of complications [32]. Preoperative determination of myocardial contractile reserve is also one of innovations in this method.…”

Optimizing technique and outcomes in structural heart disease interventions: Rapid pacing during aortic valvuloplasty?

“…Its safety and utility in allowing effective balloon inflation were studied in this report by Witzke et al from the Massachusetts General Hospital [1].…”

“Buddy wire” technique in transcatheter aortic valve implantation with a balloon-expandable valve: A rescue option in the setting of direct valve implantation (without predilation)

“…7 Nonetheless, pulmonary arterial hypertension is a major risk factor for mortality during transcatheter valve implantation and cardiac surgery. 1,8,9 The resultant increase in right ventricular afterload coupled with the inability of the right ventricle to adapt to this hemodynamic stress is closely tied with poor survival.…”