Document Detail


Stepwise Inoue balloon catheter valvuloplasty for congenital aortic valve stenosis: comparison with standard balloon catheter technique.
MedLine Citation:
PMID:  8778696     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Experience with stepwise balloon dilatation of congenital aortic valve stenosis using the new Inoue balloon catheter in 16 patients (aged 12 +/- 4.6 years; group II) is presented. Results are compared with those obtained in 15 patients (10 +/- 6 years; group I) in whom standard balloon catheters were used. The procedure resulted in a similar transvalvar gradient reduction in both groups (83 +/- 25 to 34 +/- 14 mmHg in group I versus 84 +/- 21 to 28 +/- 10 mmHg in group II). Significant aortic incompetence occurred in three patients from group I and in four from group II. There was no difference in the average increase in AR grade between the groups. At follow-up (group I, 24 +/- 13 months; group II, 7 +/- 3 months) there was no significant change in transaortic gradient or aortic incompetence. Balloon aortic valvuloplasty for congenital aortic stenosis carries a risk of aortic incompetence. Stepwise dilatation of the stenosis does not prevent this complication. The Inoue balloon catheter offers technical advantages.
Authors:
W Ruzyllo; M Demkow; E Ksiezycka; M Ciszewski; W Szaroszyk
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Pediatric cardiology     Volume:  17     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1996 Jan-Feb
Date Detail:
Created Date:  1996-09-16     Completed Date:  1996-09-16     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  15-20     Citation Subset:  IM    
Affiliation:
Department of General Cardiology and Cardiac Catheterisation Laboratory, National Institute of Cardiology, Warsaw, Poland.
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve Insufficiency / etiology
Aortic Valve Stenosis / therapy*,  ultrasonography
Balloon Dilatation / adverse effects,  instrumentation*,  methods
Child
Echocardiography, Doppler, Pulsed
Hemodynamics
Humans
Ventricular Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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