The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

INTERVENTIONS FOR VALVULAR DISEASE AND HEART FAILURE

Microprobe transoesophageal echocardiographic guidance during transcatheter interatrial septal device implantation in heart failure with a preserved ejection fraction

EuroIntervention 2016;12:401. DOI: 10.4244/EIJV12I3A65

Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands




Ao: aorta; LA: left atrium; RA: right atrium; SVC: superior vena cava

A 73-year-old male with a history of transient ischaemic attack, paroxysmal atrial fibrillation and heart failure with a preserved ejection fraction (HFPEF) was seen in the outpatient clinic with severe symptoms of heart failure despite optimal medical therapy. Prior to study inclusion (REDUCE-LAP trial) a heart catheterisation had been performed. The coronary angiogram showed only a significant stenosis of a small ramus descendens posterior.

Pulmonary hypertension (mean pulmonary artery pressure 34 mmHg) with an increased wedge pressure (21 mmHg) was present. The patient gave informed consent ...

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