Rapid right ventricular pacing for balloon aortic valvuloplasty: expanding its routine use in neonates and infants
- Resource Type
- Authors
- Dimosthenis Avramidis; Charalampos Kavvouras; David Anderson; Fotios Mitropoulos; Panagiota Karouli; Konstantinos S. Mylonas; Ioannis Papagiannis; Aphrodite Tzifa
- Source
- Cardiology in the Young. 30:1890-1895
- Subject
- Balloon Valvuloplasty
medicine.medical_specialty
medicine.medical_treatment
Regurgitation (circulation)
030204 cardiovascular system & hematology
Balloon
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Ventricular outflow tract
030212 general & internal medicine
Child
Retrospective Studies
business.industry
Infant, Newborn
Infant
Retrospective cohort study
Aortic Valve Stenosis
General Medicine
medicine.disease
Aortic valvuloplasty
Stenosis
Treatment Outcome
Aortic Valve
Pediatrics, Perinatology and Child Health
Ventricular fibrillation
cardiovascular system
Cardiology
Unicuspid
Cardiology and Cardiovascular Medicine
business
- Language
- ISSN
- 1467-1107
1047-9511
Objective:Rapid right ventricular pacing during balloon aortic valvuloplasty is commonly used to achieve balloon stability in children and adults. There is no consensus for the use of the technique in neonates and infants. We sought to review our institutional experience with rapid right ventricular pacing-assisted balloon aortic valvuloplasty across all age groups and evaluate the safety and effectiveness of the technique in the sub-group of neonates and infants Methods:Retrospective study between February, 2011 and February, 2020.Results:A total of 37 patients (Group I: 21 neonates/infants Conclusions:Rapid right ventricular pacing can be expanded in neonates and infants to potentially decrease the incidence of aortic regurgitation and reintervention rates, hence avoiding high-risk surgical bail-out procedures for severe aortic regurgitation in the first year of life. Myocardial ischemia may predispose to ventricular dysrhythmias during rapid right ventricular pacing.