The Use of Adenosine to Enable Safe Implantation of Transcatheter Tricuspid Valve

High precision is necessary during percutaneous transcatheter heart valve implantation. The precision of the implantation has been established by increasing the heart rate (usually to 200 beats per minute) to the point of significantly reduced cardiac output and thus minimizing valve movement. Routi...

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Detalles Bibliográficos
Autores principales: Zeniou, Vicki, Chen, Shmuel, Shuvy, Mony, Luria, David, Lotan, Chaim, Danenberg, Haim D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733988/
https://www.ncbi.nlm.nih.gov/pubmed/29348945
http://dx.doi.org/10.1155/2017/2760580
Descripción
Sumario:High precision is necessary during percutaneous transcatheter heart valve implantation. The precision of the implantation has been established by increasing the heart rate (usually to 200 beats per minute) to the point of significantly reduced cardiac output and thus minimizing valve movement. Routinely, this tachycardia is induced by rapid pacing. Here we report a case of failure to pace during valve-in-valve (VIV) Edwards Sapien XT implantation in the tricuspid valve position. Transient cardiac arrest was induced by intravenous adenosine injection enabling accurate valve implantation.

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