title: Mitral valvuloplasty with the Inoue balloon tracked over an arteriovenous wire.
abstract: Mitral stenosis is associated with significant morbidity and mortality. Percutaneous balloon mitral valvuloplasty is a standard treatment option for severe mitral stenosis, and in some patients may be the only feasible option. In patients with suitable valve anatomy and morphology, and with requisite physician expertise the procedure has a high success rate and good long-term outcomes. Nonetheless, even in appropriately selected patients the procedure can pose significant technical challenges. The transeptal antegrade approach using the Inoue Balloon system may be associated with difficulty and rarely with failure to cross the stenotic mitral valve. We report a case of initial Inoue balloon failure to cross followed by successful Inoue mitral valvuloplasty tracked over an arteriovenous wire loop.
authors: Division of Cardiology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. anwar.tandar@hsc.utah.edu
authors: Anwar
authors: A
authors: Tandar
authors: Rodney
authors: R
authors: Badger
authors: Brian K
authors: BK
authors: Whisenant
mesh_terms: D000328:Adult; D063126:Balloon Valvuloplasty / Q000295:instrumentation*; D062906:Cardiac Catheters; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D012214:Rheumatic Heart Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome