Percutaneous balloon valvuloplasty of pulmonary valve stenosis, dysplasia, and residual stenosis after surgical valvotomy for pulmonary atresia with intact ventricular septum: Long-term results

1990 ◽  
Vol 19 (3) ◽  
pp. 165-169 ◽  
Author(s):  
Luigi Ballerini ◽  
Charles E. Mullins ◽  
Alberta Cifarelli ◽  
Luciano Pasquini ◽  
Giuseppe De Simone ◽  
...  
Keyword(s):  
Pulmonary Valve ◽  
Pulmonary Atresia ◽  
Ventricular Septum ◽  
Long Term Results ◽  
Pulmonary Valve Stenosis ◽  
Intact Ventricular Septum ◽  
Residual Stenosis ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Valvuloplasty

Long-term results of percutaneous balloon valvuloplasty in neonatal critical pulmonary valve stenosis: a 20-year, single-centre experience

2017 ◽  
Vol 27 (7) ◽  
pp. 1314-1322
Author(s):  
Petra Loureiro ◽  
Barbara Cardoso ◽  
Inês B. Gomes ◽  
José F. Martins ◽  
Fátima F. Pinto
Keyword(s):  
Pulmonary Valve ◽  
Pressure Ratio ◽  
Balloon Valvuloplasty ◽  
Long Term Results ◽  
Pulmonary Valve Stenosis ◽  
Single Centre ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Valvuloplasty

AbstractIntroductionPercutaneous balloon valvuloplasty is the primary treatment for critical pulmonary valve stenosis in neonates. Thus far, a few studies have reported long-term results of this technique in neonatal critical pulmonary valve stenosis.MethodsWe carried out a retrospective study of all consecutive newborns with critical pulmonary valve stenosis subjected to percutaneous balloon valvuloplasty at a single centre, between 1994 and 2014, to assess its immediate and long-term safety and efficacy.ResultsA total of 24 neonates presented with critical pulmonary valve stenosis. The mean diameter of the pulmonary annulus was 7 mm (±1.19); 33.3% had a dysplastic pulmonary valve, and 92% were started on prostaglandin E1 treatment. Percutaneous balloon valvuloplasty was performed at a mean age of 4.0±4.3 days using, on average, a balloon-to-pulmonary annulus ratio of 1.18 mm (with a range from 0.9 to 1.43). Immediate success was achieved in 22/24 patients (92%) with a reduction in the pulmonary transvalvular peak gradient (p<0.05) and in the right ventricle/systemic pressure ratio (p<0.05). There was one death (4%) 6 days after the procedure, and 29.2% of them had transient rhythm complications. For a mean follow-up time of 8.4 years, the re-intervention rate was 42.9%. In total, 14 re-interventions were performed in nine neonates, including surgery in six. Freedom from re-intervention was 50% at 8 years and 43% at 10 and 15 years.ConclusionThis series, to the best of our knowledge, has had the longest follow-up of neonates with critical pulmonary valve stenosis. Percutaneous balloon valvuloplasty is a safe and effective treatment, and in our study 75% of the patients were exclusively treated using this technique.

scholarly journals Percutaneous balloon valvuloplasty of pulmonary valve stenosis: state of the art and future prospects

2020 ◽  
Vol 7 (2) ◽  
pp. 609
Author(s):  
Md Faisal Talukder ◽  
Li Hongxin ◽  
Liang Fei ◽  
Muhsin Billah Bin Khashru
Keyword(s):  
Radiation Injury ◽  
Pulmonary Valve ◽  
Pulmonary Atresia ◽  
Pulmonary Valve Stenosis ◽  
Balloon Catheters ◽  
Percutaneous Balloon ◽  
Long Term Follow Up ◽  
Percutaneous Balloon Valvuloplasty

This study is aimed to delineate readers with an overview of percutaneous balloon pulmonary valvuloplasty (PBPV) of pulmonary valve stenosis (PVS) and highlighting outcome based on influential and recent studies. It has been four decades since Kan et al first introduce PBPV. Since then, PBPV has recognized as a gold standard therapy for PVS of all ages. Nowadays, PBPV is practiced for a broad range of indication such as PVS, PV dysplasia and pulmonary atresia. Typically, PBPV is recommended when gradient across the PV is >50 mmHg. The procedure involves the placement of one or more balloon catheters across the stenotic PV with the guidance of a guidewire; thereafter, inflation of the balloons is done by pressure, thus producing valvotomy. Nowadays, PBPV is done by echocardiographic guidance, but previously, it was done by fluoroscopic guidance. The main disadvantage of fluoroscopy was the radiation injury of patients. The recently recommended balloon/annulus ratio is 1.2 to 1.25. Following the procedure, the dramatic reduction of pressure gradient, free motion of the PV leaflets with less doming, the rise of cardiac output have been noted, whereas complications may occur but are unusual and minimal. Significant predictors of restenosis include balloon/annulus ratio <1.2 and immediate post-PBPV gradient ≥30 mmHg. Only a few percentages of patients needed repeat PBPV. Long-term follow-up results are surprisingly excellent. In conclusion, it is our opinion that PBPV is equally successful in patients of all ages, while worldwide recognized studies prove the safety, feasibility, and effectiveness. However, for early detection of any complication, life-long clinical follow-up is mandatory.

Long-term Results of Percutaneous Balloon Valvuloplasty in Pulmonary Valve Stenosis in the Pediatric Population

2014 ◽  
Vol 67 (5) ◽  
pp. 374-379 ◽  
Author(s):  
Raquel Merino-Ingelmo ◽  
José Santos-de Soto ◽  
Félix Coserria-Sánchez ◽  
Alfonso Descalzo-Señoran ◽  
Israel Valverde-Pérez
Keyword(s):  
Pulmonary Valve ◽  
Pediatric Population ◽  
Balloon Valvuloplasty ◽  
Long Term Results ◽  
Pulmonary Valve Stenosis ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Valvuloplasty

Long-term results in neonates with pulmonary atresia and intact ventricular septum

1989 ◽  
Vol 47 (2) ◽  
pp. 213-217 ◽  
Author(s):  
John G. Coles ◽  
Robert M. Freedom ◽  
Nancy E. Lightfoot ◽  
Himansu K. Dasmahapatra ◽  
William G. Williams ◽  
...  
Keyword(s):  
Pulmonary Atresia ◽  
Ventricular Septum ◽  
Long Term Results ◽  
Intact Ventricular Septum

Long-term results of catheter-based treatment of pulmonary atresia and intact ventricular septum

Heart ◽  
2009 ◽  
Vol 95 (18) ◽  
pp. 1520-1524 ◽  
Author(s):  
M Marasini ◽  
P F Gorrieri ◽  
G Tuo ◽  
L Zannini ◽  
P Guido ◽  
...  
Keyword(s):  
Pulmonary Atresia ◽  
Ventricular Septum ◽  
Long Term Results ◽  
Intact Ventricular Septum
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