Skip to main content
Journal cover image

Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size?

Publication ,  Journal Article
Babaliaros, VC; Liff, D; Chen, EP; Rogers, JH; Brown, RA; Thourani, VH; Guyton, RA; Lerakis, S; Stillman, AE; Raggi, P; Cheesborough, JE ...
Published in: JACC Cardiovasc Interv
October 2008

OBJECTIVES: We sought to study the potential role of balloon aortic valvuloplasty (BAV) in sizing the aortic annulus in patients before transcatheter heart valve (THV) implantation. BACKGROUND: Despite clinicians' growing experience with THV procedures, the best method of annulus sizing remains unclear. METHODS: Twenty-three patients with aortic stenosis (<1.0 cm(2)) who were undergoing surgical valve replacement were enrolled. Pre-operative echocardiographic measurements of the annulus and computed tomography measurements of valve calcium were made. Intraoperatively, a valvuloplasty balloon of known size and inflatable pressure was inserted into the aortic valve and inflated. The development of intraballoon pressure in addition to the nominal inflation pressure (AIBP) reflected the apposition of balloon and valve. Surgical annulus was measured by cylindrical sizers. RESULTS: In patients with tricuspid valves, AIBP was generated in 11 of 12 patients when the balloon diameter was greater than the surgically measured annulus, regardless of leaflet calcification (2 of 10 patients when balloon < or = surgical annulus). In bicuspid valves, high AIBP ( approximately 1 atm) was encountered with balloons that were within 1 mm of annulus size, and leaflet dehiscence occurred with larger balloons (n = 2 patients). Annulus size was underestimated by transthoracic echocardiogram and transesophageal echocardiogram compared with surgery (p < 0.001): transthoracic echocardiogram = 21.5 +/- 1.8 mm, transesophageal echocardiogram = 22.0 +/- 1.6 mm and surgical = 23.2 +/- 1.9 mm (range 20 to 27 mm, mode 22 mm). CONCLUSIONS: These data suggest that measuring AIBP during balloon aortic valvuloplasty in tricuspid valves is an important adjunctive measurement of the aortic annulus and may help in determining the appropriate THV size.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

JACC Cardiovasc Interv

DOI

EISSN

1876-7605

Publication Date

October 2008

Volume

1

Issue

5

Start / End Page

580 / 586

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Prosthesis Design
  • Pilot Projects
  • Middle Aged
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Heart Valve Prosthesis
  • Georgia
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Babaliaros, V. C., Liff, D., Chen, E. P., Rogers, J. H., Brown, R. A., Thourani, V. H., … Block, P. C. (2008). Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size? JACC Cardiovasc Interv, 1(5), 580–586. https://doi.org/10.1016/j.jcin.2008.06.010
Babaliaros, Vasilis C., David Liff, Edward P. Chen, Jason H. Rogers, Ryan A. Brown, Vinod H. Thourani, Robert A. Guyton, et al. “Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size?JACC Cardiovasc Interv 1, no. 5 (October 2008): 580–86. https://doi.org/10.1016/j.jcin.2008.06.010.
Babaliaros VC, Liff D, Chen EP, Rogers JH, Brown RA, Thourani VH, et al. Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size? JACC Cardiovasc Interv. 2008 Oct;1(5):580–6.
Babaliaros, Vasilis C., et al. “Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size?JACC Cardiovasc Interv, vol. 1, no. 5, Oct. 2008, pp. 580–86. Pubmed, doi:10.1016/j.jcin.2008.06.010.
Babaliaros VC, Liff D, Chen EP, Rogers JH, Brown RA, Thourani VH, Guyton RA, Lerakis S, Stillman AE, Raggi P, Cheesborough JE, Veledar E, Green JT, Block PC. Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size? JACC Cardiovasc Interv. 2008 Oct;1(5):580–586.
Journal cover image

Published In

JACC Cardiovasc Interv

DOI

EISSN

1876-7605

Publication Date

October 2008

Volume

1

Issue

5

Start / End Page

580 / 586

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Prosthesis Design
  • Pilot Projects
  • Middle Aged
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Heart Valve Prosthesis
  • Georgia