percutaneous balloon aortic valvuloplastyPBAV

PBAV1984Lababidi1985Cribier1986

PBAVAlec Vahanian 2004

PBAV

CoreValve Self-Expanding Bioprosthesis

Morphological Quantification Aortic valve annulus diameter: 20-24 (27) mmAscending aorta diameter: < 45 mm

1. 2. 50mmHg 3.

1. 2. 3. 4.

5. 1 2 3

Judkins

Inoue

1X 2 3 1

4 0.035 145cm0.032145cm 260cmInoue

5C

6789

+

+

0.035260cm

/0.81.01:389

Inoue0.032260cm

Inoue1:3

5025

8h20h6h24h

13d13612X

Inoue13612X

Thank You!

*NOTICE THAT THE COREVALVE FRAME (INFLOW) IS WELL ENGAGED IN THE AORTIC ANNULUS AND THE OUTFLOW PORTION OF THE COREVALVE FRAME IS WELL ENGAGED WITHIN THE ASCENDING AORTA.THE CORONARY ARTERIES ARE NOT JAILED BECAUSE OF THE UNIQUE DESIGN OF THE SUPPORTING FRAME (CONVEXO-CONCAVE CONFIGURATION). THE CORONARY SINUS IS AWAY FROM THE FRAME AND CAN BE EASILY CANALIZED FOR ROUTINE ANGIOGRAPHY, OR INTERVENTIONAL PROCEDURE SUCH AS ANGIOPLASTY OR STENTING.

*