Mohandes Mohsen, Fuertes Mónica, Pernigotti Alberto, Zambrano Diego
Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Pere Virgili Health Research Institute (IISPV), Tarragona, Spain.
J Tehran Heart Cent. 2024 Jan;19(1):70-73. doi: 10.18502/jthc.v19i1.15616.
Balloon aortic valvuloplasty (BAV) is a therapeutic option as palliative or bridging therapy in severe aortic stenosis, even though it is a risky procedure, especially in patients with concomitant left ventricular dysfunction. The use of percutaneous ventricular assist devices, such as the Impella CP, in this scenario provides optimal circulatory support and considerably reduces the risk of the procedure. Two patients with severe aortic stenosis and left ventricular dysfunction underwent BAV with the support of the Impella-CP. The Impella CP provided adequate support in both high-risk patients and safely allowed BAV.
球囊主动脉瓣成形术（BAV）是重度主动脉瓣狭窄姑息性或过渡性治疗的一种选择，尽管它是一种有风险的手术，尤其是在伴有左心室功能不全的患者中。在这种情况下，使用经皮心室辅助装置，如Impella CP，可提供最佳的循环支持，并显著降低手术风险。两名重度主动脉瓣狭窄合并左心室功能不全的患者在Impella-CP的支持下接受了BAV。Impella CP在这两名高危患者中均提供了充分的支持，并安全地完成了BAV。
