Intra-cardiac echocardiography guided trans-septal puncture in patients with dilated left atrium undergoing percutaneous transvenous mitral commissurotomy

Liang, Kae‐Woei; Fu, Yun‐Ching; Lee, Wen-Lieng; Liu, Tsun-Jui; Wang, Kuo‐Yang; Hsueh, Chung-Whei; Lin, I-Hsiang; Chen, Ying‐Tsung; Ting, Chih‐Tai

doi:10.1016/j.ijcard.2006.05.059

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…We have modification of the procedure in adopting an ICE guidance in transseptal puncture, which could help visualize the atrial septum clearly and improve its safety. 5 Other than this modification, we closely followed the protocol proposed by Abdou et al, 2 with BAV first strategy, and snaring the transvenous/transseptal wire and externalizing it outside the left femoral artery to achieve better wire support and stability.…”

Section: Discussionmentioning

confidence: 99%

Transvenous Transseptal Concurrent Inoue Balloon Mitral and Aortic Valvuloplasty in an Octogenarian With Severe Aortic and Mitral Stenosis

Liang¹,

Chang

2020

CJC Open

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An octogenarian was admitted because of severe aortic stenosis (AS) and mitral stenosis. He declined surgical double-valve replacement and underwent intracardiac echocardiographyeguided transseptal puncture and concurrent Inoue (Toray, Tokyo, Japan) balloon aortic valvuloplasty (BAV) and balloon mitral valvuloplasty (BMV). Nine months later, he had worsening pulmonary edema and received a second session of Inoue BAV and BMV. Our case shows that concurrent transseptal Inoue BAV and BMV can treat severe AS and mitral stenosis with adequate safety and efficacy. However, the durability is limited in elderly persons with calcified AS. The procedure should be reserved for patients who refuse surgery.

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Section: Discussionmentioning

confidence: 99%

Transvenous Transseptal Concurrent Inoue Balloon Mitral and Aortic Valvuloplasty in an Octogenarian With Severe Aortic and Mitral Stenosis

Liang¹,

Chang

2020

CJC Open

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“…In cases of a large left atrium, distorted anatomy, or contraindications for TEE, the use of intracardiac echocardiography via the venous system would be an alternative for intracardiac navigation as it has been done for interventions on cardiac structures such as percutaneous transvenous mitral commissurotomy [Liang 2006].…”

Section: Discussionmentioning

confidence: 99%