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
02/27/2013Pubmed ID
23441087DOI
10.1002/ccd.24902Scopus ID
2-s2.0-84890562526 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
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 TMESH terms used to index this publication - Major topics in bold
Aged, 80 and overAorta
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