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Mitral valvuloplasty with the inoue balloon tracked over an arteriovenous wire
Author(s) -
Tandar Anwar,
Badger Rodney,
Whisenant Brian K.
Publication year - 2012
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.23341
Subject(s) - medicine , balloon , balloon valvuloplasty , stenosis , percutaneous , cardiology , mitral valve stenosis , mitral valve , mitral valvuloplasty , surgery , mitral valve replacement , radiology
Abstract Mitral stenosis is associated with significant morbidity and mortality. Percutaneous balloon mitral valvuloplasty is a standard treatment option for severe mitral stenosis, and in some patients may be the only feasible option. In patients with suitable valve anatomy and morphology, and with requisite physician expertise the procedure has a high success rate and good long‐term outcomes. Nonetheless, even in appropriately selected patients the procedure can pose significant technical challenges. The transeptal antegrade approach using the Inoue Balloon system may be associated with difficulty and rarely with failure to cross the stenotic mitral valve. We report a case of initial Inoue balloon failure to cross followed by successful Inoue mitral valvuloplasty tracked over an arteriovenous wire loop. © 2012 Wiley Periodicals, Inc.