Simultaneous Dual Distal Radial Balloon Aortic Valvuloplasty for Larger Aortic Annuli

Alexandru Achim; Viktor Sasi; Tamás Szűcsborus; Kornél Kákonyi; Zoltan Ruzsa

doi:10.14797/mdcvj.1147

Simultaneous Dual Distal Radial Balloon Aortic Valvuloplasty for Larger Aortic Annuli

Methodist Debakey Cardiovasc J. 2022 Sep 29;18(1):85-89. doi: 10.14797/mdcvj.1147. eCollection 2022.

Authors

Alexandru Achim^{1

2}, Viktor Sasi¹, Tamás Szűcsborus¹, Kornél Kákonyi¹, Zoltan Ruzsa¹

Affiliations

¹ Department of Internal Medicine, Invasive Cardiology Division, University of Szeged, Szeged, Hungary.
² "Niculae Stancioiu" Heart Institute, University of Medicine and Pharmacy "Iuliu Hatieganu," Cluj-Napoca, Romania.

Abstract

Dual distal mini-balloon aortic valvuloplasty stabilized an 85-year-old patient with severe aortic stenosis. Puncturing both radial arteries solves the issue of large diameters at the aortic ring, introducing a feasible strategy in selected cases of fragile octogenarian patients with a high hemorrhagic risk. Moving at the anatomical snuffbox offers better postprocedural occlusion rates and better workspace ergonomics during the procedure.

Keywords: aortic stenosis; balloon aortic valvuloplasty; bilateral transradial; distal radial access; simultaneous balloons; snuffbox approach; vascular complication.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / diagnostic imaging
Aortic Valve Stenosis* / surgery
Balloon Valvuloplasty* / adverse effects
Balloon Valvuloplasty* / methods
Cardiac Surgical Procedures*
Humans
Radial Artery / diagnostic imaging