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Safety and clinical benefits of transsubxiphoidal left ventricular puncture
Author(s) -
Zuguchi Masayuki,
Shindoh Chiyohiko,
Chida Koichi,
Saito Haruo,
Takai Yosihiro,
Yamada Shogo,
Iguchi Atsushi,
Endo Masato,
Akimoto Hiroji,
Tabayashi Koichi
Publication year - 2002
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10073
Subject(s) - medicine , hemodynamics , cardiology , ventricular function , mitral valve , surgery
We performed a transsubxiphoidal LV puncture (TSLVP) to evaluate left ventricular function in 21 patients with both mechanical prosthetic aortic and mitral valves and successfully obtained hemodynamic information on each patient. Analyzing cardiac hemodynamic information and ventriculographic findings obtained with TSLVP, we concluded that seven of the patients required repair of their prosthetic valves. Five of these seven patients agreed to replacement of their valves, whereas two did not. TSLVP was performed adequately and safely without severe complications, suggesting that this maneuver is easier than that of transapical LV puncture and should be recommended for the assessment of left ventricular hemodynamic functions instead of the transapical LV puncture, especially in patients requiring replacement of two valves. Cathet Cardiovasc Intervent 2002;55:58–65. © 2002 Wiley‐Liss, Inc.