| One-wire technique for performance of balloon aortic valvuloplasty. | |
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MedLine Citation:
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PMID: 15009765 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We present a new one-wire technique for balloon aortic valvuloplasty and discuss possible advantages of this technique over other techniques. METHODS: The records of 16 patients who underwent 18 procedures were reviewed. TECHNIQUE: A floppy-tipped, nitinol wire (Ultra-Select, Microvena Corp., White Bear Lake, MN) is placed across the aortic valve through a guide/measurement catheter positioned in the aortic root. The guide catheter is then removed, and the balloon catheter is positioned. Balloon dilation is then performed. RESULTS: Pre-dilation all patients had 0-1+ aortic insufficiency (AI). Four of 18 procedures resulted in an increase of >1 grade of AI, leaving 14 of 18 with < or =1 grade increase in AI. The mean gradient reduction achieved was 65%. FOLLOW-UP: Eighty-seven percent of the procedures have required no further intervention. CONCLUSION: The ease and simplicity of the procedure may reduce the risk of increasing AI, decrease fluoroscopy time, and arterial access time. |
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Authors:
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Sherri S Baker; Martin P O'Laughlin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of interventional cardiology Volume: 17 ISSN: 0896-4327 ISO Abbreviation: J Interv Cardiol Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-03-10 Completed Date: 2004-04-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8907826 Medline TA: J Interv Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 17-9 Citation Subset: IM |
Affiliation:
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Pediatric Cardiovascular Program, Duke University Medical Center, Durham, North Carolina, USA. sherri-baker@ouhsc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Valve
/
abnormalities,
surgery*,
ultrasonography Aortic Valve Insufficiency / congenital, mortality, therapy* Balloon Dilatation / methods* Child Child Welfare Child, Preschool Echocardiography Equipment Design Female Follow-Up Studies Humans Infant Infant Welfare Infant, Newborn Male Postoperative Complications / etiology, mortality Reoperation Retrospective Studies Severity of Illness Index Survival Analysis Treatment Outcome Ventricular Dysfunction, Left / congenital, mortality, therapy |
| Comments/Corrections | |
Comment In:
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J Interv Cardiol. 2004 Feb;17(1):21-2
[PMID:
15009766
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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