January 1, 2014Advances in Interventional CardiologyOpen Access

Methods and techniques A new strategy to identify potentially dangerous coronary arterial patterns before percutaneous pulmonary valve implantation

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Right ventricular outflow tract (RVOT) conduit dysfunction (n=1). Intervention: Percutaneous pulmonary valve implantation with concomitant coronary guidewire placement during balloon testing. Primary outcome: Coronary compression during percutaneous pulmonary valve implantation.

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Key result

Concomitant placement of a coronary guidewire during balloon testing helped exclude coronary compression and guided safe percutaneous pulmonary valve implantation in a patient with high-risk anatomy.

Population

1 patient with mixed stenotic and regurgitant dysfunction of an RVOT conduit after Ross-Konno operation…

Design

Case_report

Follow-up

2 days post intervention

Authors

SGSebastian GórecznyJagiellonian University AEAndreas EickenMünchen Klinik PEPeter EwertPediatric Cardiology

Discussion

Member takes

Implication

May aid coronary risk assessment in high-risk PPVI; leaves open need for prospective validation.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 15-year-old boy with right ventricular outflow tract conduit dysfunction and a potentially dangerous course of the left anterior descending artery who underwent percutaneous pulmonary valve implantation.

Intervention

Balloon testing with concomitant placement of a coronary guidewire in the LAD and selective biplane left coronary angiography, followed by percutaneous pulmonary valve implantation (Melody valve).

Outcome

Assessment of coronary compression risk during RVOT conduit expansion.safety

Placing a coronary guidewire during balloon testing before percutaneous pulmonary valve implantation can help safely assess the risk of coronary compression in patients with hazardous coronary anatomy.

Limitations

Single case report
The technique does not in itself prevent compression but may help predict the likelihood of compression in concerning anatomy

Cite This Study

Góreczny et al. (2014) conducted a case report in Right ventricular outflow tract (RVOT) conduit dysfunction (n=1). Percutaneous pulmonary valve implantation with concomitant coronary guidewire placement during balloon testing was evaluated on Coronary compression during percutaneous pulmonary valve implantation. Concomitant placement of a coronary guidewire during balloon testing helped exclude coronary compression and guided safe percutaneous pulmonary valve implantation in a patient with high-risk anatomy.

synapsesocial.com/papers/6a8425ba4e8c7cff228d6d9f https://doi.org/10.5114/pwki.2014.46773

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Methods and techniques A new strategy to identify potentially dangerous coronary arterial patterns before percutaneous pulmonary valve implantation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Methods and techniques A new strategy to identify potentially dangerous coronary arterial patterns before percutaneous pulmonary valve implantation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

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