How to perform combined cutting balloon and high pressure balloon valvuloplasty for dogs with subaortic stenosis

Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology
Mandi E KlemanJoseph A Paolillo

Abstract

Subvalvular aortic stenosis (SAS) is one of the most common congenital cardiac malformations in dogs. Unfortunately, the long term success rate and survival data following either open heart surgery or catheter based intervention has been disappointing in dogs with severe subaortic stenosis. Medical therapy is currently the only standard recommended treatment option. A cutting balloon dilation catheter has been used successfully for resistant coronary artery and peripheral pulmonary arterial stenoses in humans. This catheter is unique in that it has the ability to cut, or score, the stenotic region prior to balloon dilatation of the stenosis. The use of cutting balloon valvuloplasty combined with high pressure valvuloplasty for dogs with severe subaortic stenosis has recently been reported to be a safe and feasible alternative therapeutic option. The following report describes this technique, outlines the materials required, and provides some 'tips' for successful percutaneous subaortic balloon valvuloplasty.

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Citations

Mar 7, 2014·Journal of Veterinary Internal Medicine·B D EasonA H Tobias
Feb 5, 2015·The Journal of Veterinary Medical Science·Takuma AokiYoko Fujii
May 15, 2012·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Mandi E KlemanJoseph A Paolillo
Nov 4, 2016·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·A PinkosK Barncord
Jan 25, 2017·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·L ShenK Lamb
Mar 13, 2018·Journal of Veterinary Internal Medicine·Lauren E Markovic, Brian A Scansen
Sep 21, 2018·The Journal of Veterinary Medical Science·Seijirow GoyaRyou Tanaka
May 9, 2021·Canine Medicine and Genetics·Eric S Ontiveros, Joshua A Stern
Jun 29, 2021·The Journal of Small Animal Practice·A B Saunders
Nov 21, 2017·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Karsten E SchoberJohn D Bonagura

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