Digitale Medien
350 Main Street , Malden , MA 02148 , USA .
:
Blackwell Science Inc
Journal of interventional cardiology
17 (2004), S. 0
ISSN:
1540-8183
Quelle:
Blackwell Publishing Journal Backfiles 1879-2005
Thema:
Medizin
Notizen:
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: Predilation 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 ≤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. (J Interven Cardiol 2004;17:17–19)
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1111/j.1540-8183.2004.01121.x
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