Safety and Feasibility of Transradial Mini-Invasive Balloon Aortic Valvuloplasty

Tumscitz, Carlo; Campo, Gianluca; Tebaldi, Matteo; Gallo, Francesco; Pirani, Lucia; Biscaglia, Simone

doi:10.1016/j.jcin.2017.05.007

Cited by 17 publications

(10 citation statements)

References 6 publications

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“…Moreover, the risk of vascular and bleeding complications may be further limited by performing mini‐invasive BAV via radial artery. This recent approach may allow faster mobilization after procedure and could be preferred in higher‐risk patients 14 . Radial access, considered the first‐line approach in our centre, was not viable in this case owing to the absence of arterial pulse.…”

Section: Discussionmentioning

confidence: 88%

Balloon aortic valvuloplasty for urgent treatment of severe aortic stenosis during coronavirus disease 2019 pandemic: a case report

et al. 2020

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An 86-year-old man affected by severe aortic stenosis (AS) was referred to our institution owing to decompensated heart failure. Three months before, the patient was scheduled for transcatheter aortic valve implantation (TAVI), which was postponed owing to the coronavirus disease 2019 (COVID-19) outbreak. Owing to COVID-19 suspicion, he underwent nasopharyngeal swab and was temporarily isolated. However, the rapid deterioration of clinical and haemodynamic conditions prompted us to perform balloon aortic valvuloplasty (BAV) as bridge to TAVI. The patient's haemodynamics improved; and the next day, the reverse transcriptase-polymerase chain reaction for COVID-19 was negative. At Day 5, he underwent TAVI procedure. Subsequent clinical course was uneventful. During COVID-19 pandemic, the deferral of TAVI procedure should be assessed on a case-by-case basis to avoid delay in patients at high risk for adverse events. BAV may be an option when TAVI is temporarily contraindicated such as in AS patients suspected for COVID-19.

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Section: Discussionmentioning

confidence: 88%

Balloon aortic valvuloplasty for urgent treatment of severe aortic stenosis during coronavirus disease 2019 pandemic: a case report

et al. 2020

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“…However, the persistent presence of BAV‐related adverse vascular events (9–10% in published data with transfemoral access) encouraged a minimally invasive approach to BAV using the radial artery. This method showed a high success rate and a reduction in vascular complications, as demonstrated by the SOFTLY I registry 2 . Additionally, the transradial approach led to early patient mobilization and reduced hospital stay, both crucial aspects especially in older adults 2 …”

Section: Introductionmentioning

confidence: 93%

“…This method showed a high success rate and a reduction in vascular complications, as demonstrated by the SOFTLY I registry 2 . Additionally, the transradial approach led to early patient mobilization and reduced hospital stay, both crucial aspects especially in older adults 2 …”

Section: Introductionmentioning

confidence: 93%

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Snuffbox approach for balloon aortic valvuloplasty: A case series

Cesare¹,

Tonet²,

Campo

et al. 2020

Cathet Cardio Intervent

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In the era of transcatheter aortic valve replacement (TAVR), the spectrum of indications for balloon aortic valvuloplasty is growing, especially in old and frail patients. Mini‐invasive approaches via radial access reduce vascular complications and length of hospital stay. The snuffbox approach has never been described for Balloon aortic valvuloplasty (BAV). We performed a review of patients who underwent BAV using distal radial access between January 2019 and December 2019 in a single Italian Centre. All patients received a 30‐day follow‐up. The procedure was successfully conducted by anatomical snuffbox in all reported cases. All patients were mobilized within 10 h from the procedure without vascular access‐related complications. Thirty‐day color Doppler ultrasound showed distal radial artery patency in 89% of cases. In our case series, the snuffbox approach for balloon aortic valvuloplasty appeared to be safe and feasible. This approach could be a valid alternative especially in old and frail adults waiting for TAVR.

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“…For this reason, using alternative vascular approaches, which may reduce the risk of such complications is attractive. Mini-invasive radial BAV reduces the rate of vascular complications with feasibility and efficacy comparable with standard femoral approach [74].…”

Section: Radial Access For Non-coronary Cardiovascular Interventionsmentioning

confidence: 99%

Radial Artery Access for Percutaneous Cardiovascular Interventions: Contemporary Insights and Novel Approaches

Scalise

Salito

Polimeni

et al. 2019

JCM

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Since its introduction, the transradial access for percutaneous cardiovascular procedures has been associated with several advantages as compared to transfemoral approach, and has become the default for coronary angiography and intervention. In the last 30 years, a robust amount of evidence on the transradial approach has been mounted, promoting its diffusion worldwide. This article provides a comprehensive review of radial artery access for percutaneous cardiovascular interventions, including the evidence from clinical trials of transradial vs. transfemoral approach, technical considerations, access-site complications and limitations, alternative forearm accesses (e.g., ulnar and distal radial artery), and ultimately the use of the radial approach for structural interventions.

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Safety and Feasibility of Transradial Mini-Invasive Balloon Aortic Valvuloplasty

Cited by 17 publications

References 6 publications

Balloon aortic valvuloplasty for urgent treatment of severe aortic stenosis during coronavirus disease 2019 pandemic: a case report

Balloon aortic valvuloplasty for urgent treatment of severe aortic stenosis during coronavirus disease 2019 pandemic: a case report

Snuffbox approach for balloon aortic valvuloplasty: A case series

Radial Artery Access for Percutaneous Cardiovascular Interventions: Contemporary Insights and Novel Approaches

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