Key result
RRVP during pediatric BAV is safe with no severe AR and ~1% VF.
Why the study?
The role of rapid right ventricular pacing in balloon stabilization during balloon aortic valvuloplasty and its effect on aortic regurgitation in pediatric patients was unclear.
Does rapid right ventricular pacing for balloon stabilization during balloon aortic valvuloplasty prevent severe aortic regurgitation in pediatric patients with congenital aortic stenosis?
Population
72 pediatric patients with congenital aortic valve stenosis from 5 studies
Comparison
Rapid right ventricular pacing-assisted BAV vs no RRVP
Design
Systematic review
Authors
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Supports rapid right ventricular pacing for stabilization in pediatric balloon aortic valvuloplasty; extends Level 1 safety data in congenital aortic stenosis.
Systematic Review (n=72)
Does rapid right ventricular pacing for balloon stabilization during balloon aortic valvuloplasty prevent severe aortic regurgitation in pediatric patients with congenital aortic stenosis?
Rapid right ventricular pacing can be safely used for balloon stabilization during pediatric balloon aortic valvuloplasty without causing severe aortic regurgitation.
Mylonas et al. (2020) conducted a systematic review in congenital aortic valve stenosis (n=72). Rapid right ventricular pacing (RRVP) was evaluated on Aortic regurgitation (AR) grade. Rapid right ventricular pacing during pediatric balloon aortic valvuloplasty was safe, with no patients developing severe aortic regurgitation and 1.4% developing ventricular fibrillation.
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