Usefulness of shock wave lithotripsy as pretreatment for balloon valvuloplasty in calcified mitral stenosis

Nowak, Bernd; Baykut, D; Kaltenbach, M.; Reifart, Nicolaus

doi:10.1016/0002-9149(89)90158-6

Cited by 1 publication

(1 citation statement)

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“…Since the 1980s, sonic pressure (shock) waves have been used to fragment renal and biliary stones. After the first in vitro experience by Nowak et al in 1989 with twelve explanted calcified rheumatic mitral valves, the technology was abandoned due to inefficacy and serious risk of calcium embolism [ 5 ]. Thirty years later, and after some surgical experiences, intravascular shockwave systems (Shockwave Medical, Santa Clara, CA, USA) were made available for coronary [ 6 ] and peripheral percutaneous interventions [ 7 ], and the first case report of lithotripsy-facilitated PMC was published by Eng et al in 2019 [ 8 ].…”

Section: Lithotripsy-facilitated Percutaneous Mitralmentioning

confidence: 99%

New Percutaneous Approaches for the Treatment of Heavily Calcified Mitral Valve Stenosis

Sanz‐Ruiz

Vázquez-Álvarez

Gutiérrez‐Ibañes

et al. 2022

JCM

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Important breakthroughs have considerably improved the outcomes of the percutaneous treatment of valvular heart diseases during the last decades. However, calcium deposition and progressive calcification of the left-sided heart valves present a challenge with prognostic implications that have not been addressed until recently. In the case of native mitral stenosis with no surgical options, a compelling need for tackling heavily calcified valves has led to the development of novel debulking techniques and to the use of aortic balloon-expandable bioprosthesis in the mitral position. In this section of the special issue “Mitral Valve Disease: State of the Art”, we will review standard approaches and indications for the treatment of native mitral stenosis; summarize these two innovative solutions and their evidence, describing both procedures in a “step-by-step” fashion; and briefly comment on future directions in this field.

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Section: Lithotripsy-facilitated Percutaneous Mitralmentioning

confidence: 99%