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Catheter Cardiovasc Interv · Nov 2012
Case ReportsMitral valvuloplasty with the Inoue balloon tracked over an arteriovenous wire.
- Anwar Tandar, Rodney Badger, and Brian K Whisenant.
- Division of Cardiology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. anwar.tandar@hsc.utah.edu
- Catheter Cardiovasc Interv. 2012 Nov 15; 80 (6): 987-90.
AbstractMitral 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.Copyright © 2012 Wiley Periodicals, Inc.
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