Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun 5;19(2):e188-e190.
doi: 10.4244/EIJ-D-22-00798.

Prophylactic intra-aortic balloon pump in transfemoral transcatheter aortic valve implantation

Andrea Scotti  1   2 , Pier Pasquale Leone  1 , Matteo Sturla  1 , Jonathan Curio  1 , Alexander M Spring  1 , Gaia Ressa  1 , Sebastian Ludwig  1   2 , Tadahisa Sugiura  1 , Manaf Assafin  1 , Juan F Granada  1   2 , Mei Chau  1 , James Doolittle  1 , Azeem Latib  1
Affiliations

Prophylactic intra-aortic balloon pump in transfemoral transcatheter aortic valve implantation

Andrea Scotti et al. EuroIntervention. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

A. Latib has served on advisory boards or as a consultant for Medtronic, Boston Scientific, Philips, Edwards Lifesciences, and Abbott. S. Ludwig has received travel compensation from Edwards Lifesciences and consulting fees from Bayer. The other authors have no conflicts of interest to declare related to the content of this paper.

Figures

Figure 1
Figure 1. The intra-aortic balloon pump can be kept functioning during the following procedural steps: loading of transcatheter heart valve (THV) in descending aorta (balloon-expandable THV), tracking of THV in descending aorta (balloon-expandable and self-expanding THV), and THV delivery (self-expanding THV).
Central Illustration
Central Illustration. Prophylactic use of an intra-aortic balloon pump in transfemoral transcatheter aortic valve implantation with balloon-expandable (orange) and self-expanding (purple) valves.
IABP-assisted arterial waveforms before and after TAVI show an increase in aortic pressure. Valve deployment was performed with and without concurrent IABP counterpulsation according to pacing frequency in self-expanding (120 bpm) and balloon-expandable (180 bpm) valves, respectively. IABP use is deferred if more than mild AR is present or balloon predilation is planned because of the risk of AR worsening and acute left ventricular volume overload. *If post-dilatation is needed, IABP counterpulsation should be paused during rapid pacing (180 bpm). AR: aortic regurgitation; BEV: balloon-expandable valve; IABP: intra-aortic balloon pump; SBP: systolic blood pressure; SEV: self-expanding valve; TAVI: transcatheter aortic valve implantation; THV: transcatheter heart valve
See this image and copyright information in PMC

References

    1. Ribeiro HB, Lerakis S, Gilard M, Cavalcante JL, Makkar R, Herrmann HC, Windecker S, Enriquez-Sarano M, Cheema AN, Nombela-Franco L, Amat-Santos I, Muñoz-García AJ, Garcia Del, Zajarias A, Lisko JC, Hayek S, Babaliaros V, Le Ven, Gleason TG, Chakravarty T, Szeto WY, Clavel MA, de Agustin, Serra V, Schindler JT, Dahou A, Puri R, Pelletier-Beaumont E, Côté M, Pibarot P, Rodés-Cabau J. Transcatheter Aortic Valve Replacement in Patients With Low-Flow, Low-Gradient Aortic Stenosis: The TOPAS-TAVI Registry. J Am Coll Cardiol. 2018;71:1297–308. - PubMed
    1. Shreenivas SS, Lilly SM, Szeto WY, Desai N, Anwaruddin S, Bavaria JE, Hudock KM, Thourani VH, Makkar R, Pichard A, Webb J, Dewey T, Kapadia S, Suri RM, Xu K, Leon MB, Herrmann HC. Cardiopulmonary bypass and intra-aortic balloon pump use is associated with higher short- and long-term mortality after transcatheter aortic valve replacement: a PARTNER trial substudy. Catheter Cardiovasc Interv. 2015;86:316–22. - PubMed