The Lababidi Procedure: Is Neonatal Balloon Aortic Valvotomy Worth the Risk?

Published on Feb 1, 2017in Catheterization and Cardiovascular Interventions2.044
· DOI :10.1002/CCD.26923
Donald J. Hagler88
Estimated H-index: 88
#1Patrick M. Sullivan (Children's Hospital Los Angeles)H-Index: 8
#2Agustin E. Rubio (UW: University of Washington)H-Index: 4
Last. Thomas K. Jones (UW: University of Washington)H-Index: 29
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Objectives To describe long-term risk of mortality, aortic insufficiency (AI), and re-intervention following balloon aortic valvuloplasty (BAV) in pediatric patients and to identify risk factors for re-intervention. Background Few studies report long-term outcomes following BAV in infants and children. Methods Kaplan-Meier estimates and proportional hazards regression were used in a retrospective study of 154 patients undergoing BAV from 1993 to 2013. Results Seventy-six (49%) patients were neon...
13 CitationsSource
#1David W. Brown (Harvard University)H-Index: 69
#2Amy E. Dipilato (Harvard University)H-Index: 2
Last. Doff B. McElhinney (Harvard University)H-Index: 77
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Objectives The aim of this study was to evaluate the long-term results of transcatheter balloon aortic valvuloplasty, the preferred treatment for congenital aortic stenosis (AS). Background Aortic valve function and reintervention late after this procedure are not well characterized. Methods From 1985 to 2008, 563 patients underwent balloon dilation for congenital AS. After excluding those converted to univentricular circulation and/or died ≤30 days after the procedure, 509 patients constituted ...
143 CitationsSource
#1Ralf J. Holzer (OSU: Ohio State University)H-Index: 29
#2John P. Cheatham (Nationwide Children's Hospital)H-Index: 46
Since its introduction in the mid-1980s ([1][1]), transcatheter therapy has replaced cardiothoracic surgery as the preferred treatment modality in the majority of patients with congenital valvular aortic stenosis. In 1990, a group from Children's Hospital Boston wrote an editorial in this journal
7 CitationsSource
#1Zuhdi Lababidi (MU: University of Missouri)H-Index: 13
#2Jiunn-Ren Wu (MU: University of Missouri)H-Index: 2
Last. Joseph T. Walls (MU: University of Missouri)H-Index: 23
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Percutaneous balloon aortic valvuloplasty (BAV) was performed in 23 consecutive patients with valvular aortic stenosis with no associated cardiac defects. The patients were 2 to 17 years old and were referred from 12 hospitals in 4 states. The balloon was positioned across the aortic valve and inflated to pressures of 80, 100, then 120 psi. Each inflation lasted 5 to 10 seconds. The arterial and venous catheters were connected together outside the groin to avoid excessive increase in left ventri...
365 CitationsSource
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