Controlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis.

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dc.contributor.authorGupta, Sampa Dutta
dc.contributor.authorDas, Soumi
dc.contributor.authorGhose, Tapas
dc.contributor.authorSarkar, Achyut
dc.contributor.authorGoswami, Anupam
dc.contributor.authorKundu, Sudeshna
dc.date.accessioned2012-07-16T08:18:33Z
dc.date.available2012-07-16T08:18:33Z
dc.date.issued2010-09
dc.description.abstractRapid right ventricular pacing is safe, effective, and established method to provide balloon stability during balloon aortic valvuloplasty (BAV). Controlled transient respiratory arrest at this point of time may further reduce left ventricular stroke volume, providing an additional benefit to maintain balloon stability. Two groups were studied. Among the 10 patients, five had rapid pacing alone (Group A), while the other five were provided with cessation of positive pressure breathing as well (Group B). The outcomes of BAV in the two groups of patients were studied. One patient in Group A had failed balloon dilatation even after the fourth attempt, while in Group B there were no failures. The peak systolic gradient reduction was higher in Group B (70.05% in comparison to 52.16% of group A). In Group A, five subjects developed aortic regurgitation (grade 2 in four and grade 3 in one, while no grade 3 aortic regurgitation developed in any patient in Group B). Controlled transient respiratory arrest along with rapid ventricular pacing may be effective in maintaining balloon stability and improve the outcome of BAV.en_US
dc.identifier.citationGupta Sampa Dutta, Das Soumi, Ghose Tapas, Sarkar Achyut, Goswami Anupam, Kundu Sudeshna. Controlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis. Annals of Cardiac Anaesthesia. 2010 Sept; 13(3): 236-240.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/139537
dc.language.isoenen_US
dc.source.urihttps://www.annals.in/article.asp?issn=0971-9784;year=2010;volume=13;issue=3;spage=236;epage=240;aulast=Guptaen_US
dc.subjectBalloon dilatationen_US
dc.subjectBalloon stabilityen_US
dc.subjectcontrolled transient respiratory arresten_US
dc.subjectrapid right ventricular pacingen_US
dc.subjectvalvular aortic stenosisen_US
dc.subject.meshAortic Valve Stenosis --surgery
dc.subject.meshBlood Pressure --physiology
dc.subject.meshCardiac Output --physiology
dc.subject.meshCardiac Pacing, Artificial
dc.subject.meshCatheterization --methods
dc.subject.meshChild
dc.subject.meshChild, Preschool
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshInfant
dc.subject.meshIntermittent Positive-Pressure Ventilation
dc.subject.meshMale
dc.subject.meshOxygen --blood
dc.subject.meshRespiratory Mechanics --physiology
dc.subject.meshRetrospective Studies
dc.subject.meshVentricular Function, Left --physiology
dc.titleControlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis.en_US
dc.typeArticleen_US
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