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February 1, 2024JACC AdvancesOpen Access

Technical Success and Serious Adverse Events for Fetal Aortic Valvuloplasty in a Large 20-Year Cohort

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Why the study?

An inferential analysis of technical success and serious adverse events in a large series of fetal aortic valvuloplasties had not been reported.

What factors are associated with technical success and serious adverse events in fetal aortic valvuloplasty?

Population

163 patients (165 attempted FAVs) with severe aortic valve stenosis and evolving hypoplastic left heart syndrome

Comparison

Factors associated with technical success and serious adverse events during attempted FAV

Design

Retrospective single-center cohort analysis

Authors

RCRyan CallahanKFKevin G. FriedmanWTWayne Tworetzky

Discussion

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Member takes

Overview

Smaller fetal left hearts linked to lower FAV success and more SAEs; leaves open refined selection criteria pending prospective validation.

Structured PICO

What factors are associated with technical success and serious adverse events in fetal aortic valvuloplasty?

P
Population
163 fetuses (165 attempted procedures) with severe aortic valve stenosis and evolving hypoplastic left heart syndrome, median gestational age 24.6 weeks.
I
Intervention
Fetal aortic valvuloplasty (FAV)
O
Outcome
Technical success (TS) of FAVsafety

Technical success of fetal aortic valvuloplasty has improved over a 20-year period, though serious adverse events remain common and are strongly associated with smaller left heart size and longer procedure times.

Cite This Study

Callahan et al. (2024) studied this question.

synapsesocial.com/papers/6a715bf0febe604dd70a0813https://doi.org/10.1016/j.jacadv.2024.100835
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Procedural, pregnancy, and short‐term outcomes after fetal aortic valvuloplasty2020 · 36 citations
  2. 2Intrauterine Valvuloplasty in Severe Aortic Stenosis—A Ten Years Single Center Experience2022 · 12 citations
  3. 3Valvuloplasty in 103 fetuses with critical aortic stenosis: outcome and new predictors for postnatal circulation2021 · 58 citations
  4. 4Postnatal circulation in patients with aortic stenosis undergoing fetal aortic valvuloplasty: systematic review and meta‐analysis2021 · 20 citations
  5. 5Intervention for fetal critical aortic stenosis: first step in a metamorphosis?2018 · 6 citations