Rapid right ventricular pacing for balloon valvuloplasty in congenital aortic stenosis:A systematic review  

作　　者：Konstantinos S Mylonas Ioannis A Ziogas Charitini S Mylona Dimitrios V Avgerinos Christos Bakoyiannis Fotios Mitropoulos Aphrodite Tzifa 

机构地区：[1]Department of Cardiothoracic Surgery,Yale New Haven Hospital,New Haven,CT 06510,United States [2]Medical School,Aristotle University of Thessaloniki,Thessaloniki 54124,Greece [3]Department of Pediatrics,Trikala General Hospital,Trikala 42100,Greece [4]Department of Cardiothoracic Surgery,New York Presbyterian Hospital,New York,NY 10065,United States [5]Division of Vascular Surgery,First Department of Surgery,Laiko General Hospital,National and Kapodistrian University of Athens,Athens 11527,Greece [6]Department of Pediatric Cardiac Surgery,Mitera Children’s Hospital,Athens 15123,Greece [7]Department of Pediatric Cardiology and Adult Congenital Heart Disease,Mitera Children’s Hospital,Athens 15123,Greece

出　　处：《World Journal of Cardiology》2020年第11期540-549,共10页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Balloon aortic valvuloplasty(BAV)is a well-established treatment modality for congenital aortic valve stenosis.AIM To evaluate the role of rapid right ventricular pacing(RRVP)in balloon stabilization during BAV on aortic regurgitation(AR)in pediatric patients.METHODS A systematic review of the MEDLINE,Cochrane Library,and Scopus databases was conducted according to the PRISMA guidelines(end-of-search date:July 8,2020).The National Heart,Lung,and Blood Institute and Newcastle-Ottawa scales was utilized for quality assessment.RESULTS Five studies reporting on 72 patients were included.The studies investigated the use of RRVP-assisted BAV in infants(>1 mo)and older children,but not in neonates.Ten(13.9%)patients had a history of some type of aortic valve surgical or catheterization procedure.Before BAV,58(84.0%),7(10.1%),4(5.9%)patients had AR grade 0(none),1(trivial),2(mild),respectively.After BAV,34(49.3%),6(8.7%),26(37.7%),3(4.3%),patients had AR grade 0,1,2,and 3(moderate),respectively.No patient developed severe AR after RRVP.One(1.4%)developed ventricular fibrillation and was defibrillated successfully.No additional arrhythmias or complications occurred during RRVP.CONCLUSION RRVP can be safely used to achieve balloon stability during pediatric BAV,which could potentially decrease AR rates.

关 键 词：Congenital aortic stenosis Rapid right ventricular pacing Balloon aortic valvuloplasty Congenital heart disease Systematic review Aortic regurgitation 

分 类 号：R726.5[医药卫生—儿科]