Medical College of Wisconsin
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High pacing rates for management of aortic insufficiency after balloon aortic valvuloplasty or transcatheter aortic valve replacement. Catheter Cardiovasc Interv 2014 Jan 01;83(1):162-8

Date

02/27/2013

Pubmed ID

23441087

DOI

10.1002/ccd.24902

Scopus ID

2-s2.0-84890562526 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Aortic insufficiency (AI) after transcatheter aortic valve replacement (TAVR) is difficult to manage when associated with congestive heart failure. AI after balloon aortic valvuloplasty (BAV) may be catastrophic, especially in patients who are not candidates for TAVR. We describe the use of urgent temporary pacing, followed by permanent pacing, to increase the heart rate to diminish diastolic filling time for the short term management of AI after BAV or TAVR. The strategy is particularly useful in patients who already have permanent pacemakers, which are common in this population.

Author List

Ali O, Salinger MH, Levisay JP, Feldman T



MESH terms used to index this publication - Major topics in bold

Aged, 80 and over
Aorta
Aortic Valve Insufficiency
Aortic Valve Stenosis
Arterial Pressure
Balloon Valvuloplasty
Cardiac Catheterization
Cardiac Pacing, Artificial
Electrocardiography
Female
Heart Rate
Heart Valve Prosthesis Implantation
Humans
Male
Treatment Outcome
Ventricular Function, Left
Ventricular Pressure