The Use of Adenosine to Enable Safe Implantation of Transcatheter Tricuspid Valve.
Vicki ZeniouShmuel ChenMony ShuvyDavid LuriaChaim LotanHaim D DanenbergPublished in: Case reports in cardiology (2017)
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.
Keyphrases
- aortic valve
- mitral valve
- aortic stenosis
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- heart rate
- cardiac arrest
- ejection fraction
- left ventricular
- blood pressure
- heart rate variability
- high dose
- low dose
- brain injury
- mass spectrometry
- sensitive detection
- cardiac resynchronization therapy
- catheter ablation