Key result
Rapid transesophageal atrial pacing during balloon aortic valvuloplasty in 4 neonates and infants was safe, allowed significant relief of left ventricular obstruction, and caused no ventricular arrhythmias.
Why the study?
Rapid right ventricular pacing to stabilize balloons during aortic valvuloplasty has drawbacks in neonates and infants, leading to the evaluation of a new transesophageal technique.
Does rapid transesophageal atrial pacing provide safe and effective balloon stabilization during balloon aortic valvuloplasty in neonates and infants with severe congenital aortic valve stenosis?
Case Report (n=4)
Does rapid transesophageal atrial pacing provide safe and effective balloon stabilization during balloon aortic valvuloplasty in neonates and infants with severe congenital aortic valve stenosis?
Rapid transesophageal atrial pacing is a safe and effective alternative to right ventricular pacing for balloon stabilization during aortic valvuloplasty in neonates and infants, avoiding the need for additional vascular access and reducing the risk of perforation.
Authors
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Rapid RV pacing may stabilize balloon position during congenital BAV; leaves open safety and efficacy in infants.
Meliota et al. (2023) conducted a case report in Severe congenital aortic valve stenosis (n=4). Rapid transesophageal atrial pacing was evaluated on Safety and efficacy (relief of left ventricular obstruction, aortic regurgitation, ventricular arrhythmias). Rapid transesophageal atrial pacing during balloon aortic valvuloplasty in 4 neonates and infants was safe, allowed significant relief of left ventricular obstruction, and caused no ventricular arrhythmias.
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