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Double balloon pulmonary valvuloplasty: Multi‐track system versus conventional technique
Author(s) -
Pedra Carlos A.C.,
Arrieta S. Raul,
Esteves Cesar A.,
Braga Sérgio L.N.,
Neves Juliana,
Cassar Renata,
Pedra Simone R.F.,
Santana M. Virginia T.,
Silva M. Aparecida P.,
Sousa J. Eduardo M.R.,
Fontes Valmir F.
Publication year - 2006
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.20838
Subject(s) - medicine , balloon , track (disk drive) , balloon valvuloplasty , cardiology , fast track , surgery , computer science , operating system
Objectives: To evaluate whether double balloon pulmonary valvuloplasty (DBPV) with the Multi‐Track system (MTS) may help to simplify the procedure. Background: DBPV is usually required for patients with pulmonary valve stenosis with large annulus. However, it needs two venous accesses and can be technically demanding. Methods: From 07/03, 20 consecutive patients (19 ± 10 yrs) with typical pulmonary valve stenosis underwent DBPV using the MTS (G1). The results were compared with those achieved by conventional DBPV performed in a matched historical group of 28 patients (21 ± 11 yrs; P = NS) (G2). Results: MTS balloons were easily advanced through the skin and inflated across the valve. Similar results were observed in regards to residual gradients (12 ± 11 vs 14 ± 10 mm Hg; P = NS) and right ventricular to systemic pressures (0.35 ± 0.22 vs 0.37 ± 0.26; P = NS). Procedure and fluoroscopic times were significant lower in G1 (78 ± 24 vs 126 ± 28; 15 ± 12 vs 25 ± 8 min, respectively; both P < 0.001). There was no major complication. Median follow‐up was 1.8 yr for G1 and 5 yr for G2 ( P = 0.037). At the last visit, peak instantaneous gradient across the right ventricular outflow tract by echocardiography was a mean 22 ± 10 mm Hg for G1 and 25 ± 9 mm Hg for G2 ( P = NS). No patient had severe pulmonary insufficiency or required reintervention. Conclusions: The use of the MTS helped to expedite the procedure providing satisfactory midterm clinical outcomes, similar to those observed with the conventional DBPV technique. © 2006 Wiley‐Liss, Inc.