Why the study?
Does transcarotid balloon aortic valvuloplasty with continuous transesophageal echocardiographic guidance at the bedside allow successful treatment in neonates with critical aortic valve stenosis?
Does transcarotid balloon aortic valvuloplasty with continuous transesophageal echocardiographic guidance at the bedside allow successful treatment in neonates with critical aortic valve stenosis?
Bedside transcarotid balloon aortic valvuloplasty with continuous TEE guidance is feasible in hemodynamically unstable neonates with critical aortic stenosis, avoiding the risks of transport to the catheterization laboratory.
Hypothesis-generating for bedside transcarotid valvuloplasty in unstable neonates; prospective studies needed before clinical adoption.
We describe the first two successful cases of transcarotid balloon aortic valvuloplasty for critical aortic valve stenosis in the neonate utilizing continuous transesophageal echocardiographic guidance performed at the bedside. This method obviates the need for transporting a sick and hemodynamically unstable neonate to the catheterization laboratory and additionally reduces costs without compromising clinical care.
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Wéber et al. (2000) studied this question.
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