Invasive hemodynamic evaluation in patients with mechanical aortic valves.
Invasive hemodynamic evaluation in the patient with a mechanical aortic valve has in the past required transseptal or apical left ventricular puncture in order to obtain left ventricular pressure measurements. Over the last few years, several case reports have described the feasibility of using a coronary pressure-sensing guidewire to cross mechanical prosthetic aortic valves. In the current manuscript, we report four cases in which the use of a pressure-sensing guidewire was utilized for invasive hemodynamic diagnostic evaluation in patients with mechanical aortic valves. Furthermore, we present a detailed description of the technical approach to this technique and the limitations of this approach.
Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27710, USA. todd.kiefer@duke.edu
Todd L
TL
Kiefer
Andrew
A
Wang
J Kevin
JK
Harrison
D001021:Aortic Valve / Q000503:physiopathology* / Q000601:surgery; D006328:Cardiac Catheterization / Q000295:instrumentation; D062906:Cardiac Catheters; D004867:Equipment Design; D005260:Female; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011312:Pressure; D011474:Prosthesis Design; D012815:Signal Processing, Computer-Assisted; D012984:Software; D014160:Transducers, Pressure; D016896:Treatment Outcome