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You are here: Contents > 2015 > Volume 24 Number 2 March 2015 > AORTIC VALVE DISEASE > Impella-Assisted Balloon Aortic Valvuloplasty as a Bridge to Transcatheter Aortic Valve Replacement: Non-Contrast Approach

Impella-Assisted Balloon Aortic Valvuloplasty as a Bridge to Transcatheter Aortic Valve Replacement: Non-Contrast Approach

Vikas Singh1, Alon Yarkoni2, Cesia Gallegos1, William W. O’Neill2

1Cardiovascular Division, University of Miami Miller School of Medicine, Florida, 2Center for Structural Heart Diseases, Henry Ford Hospital, Detroit, Michigan, USA

Patients with severe aortic stenosis (AS) and left ventricular dysfunction are susceptible to hemodynamic decompensation due to limited myocardial reserve. Recent reports have suggested a role for hemodynamic assist devices such as the Impella or TandemHeart for improved in-hospital outcomes. However, the use of iodinated contrast during this vulnerable period poses a high risk for the development of contrast-induced

nephropathy. A strategic approach is described for the treatment of high-risk patients with severe AS and cardiogenic shock, utilizing Impella-assisted balloon aortic valvuloplasty (BAV), without the administration of iodinated contrast as a bridge to transcatheter aortic valve replacement.

The Journal of Heart Valve Disease 2015;24:177-180


Impella-Assisted Balloon Aortic Valvuloplasty as a Bridge to Transcatheter Aortic Valve Replacement: Non-Contrast Approach

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