2021, Number 1
Percutaneous balloon atrial septostomy for treating heart failure
Language: Spanish
References: 9
Page: 115-119
PDF size: 518.80 Kb.
Text Extraction
To the Editor:The epidemic of heart failure is spreading throughout the world. In this prestigious journal, Jerez Castro 1 made an exhaustive and accurate review of the availability of non-pharmacological alternatives for the treatment of heart failure; however, this disease keeps a high morbidity and mortality, decreases life quality and increases hospital admissions and health care costs.
In the pathophysiology of the different forms of presentation of pump failure: either acute or chronic, and heart failure with preserved ejection fraction (HFpEF) or reduced ejection fraction (HFrEF), there is a common element: increased left atrial (LA) pressure. The creation of an interatrial communication through percutaneous balloon atrial septostomy (PBAS) has emerged as an alternative therapy.
REFERENCES
Bauer A, Khalil M, Lüdemann M, Bauer J, Esmaeili A, De-Rosa R, et al. Creation of a restrictive atrial communication in heart failure with preserved and mid-range ejection fraction: effective palliation of left atrial hypertension and pulmonary congestion. Clin Res Cardiol. 2018;107(9):845-57. DOI: https://doi.org/10.1007/s00392-018-1255-x
Hasenfuß G, Hayward C, Burkhoff D, Silvestry FE, McKenzie S, Gustafsson F, et al. A transcatheter intracardiac shunt device for heart failure with preserved ejection fraction (REDUCE LAP-HF): A multicentre, open-label, single-arm, phase 1 trial. Lancet. 2016;387(10025):1298-304. DOI: https://doi.org/10.1016/s0140-6736(16)00704-2
Feldman T, Mauri L, Kahwash R, Litwin S, Ricciardi MJ, van der Harst P, et al. Transcatheter Interatrial Shunt Device for the Treatment of Heart Failure With Preserved Ejection Fraction (REDUCE LAP-HF I [Reduce Elevated Left Atrial Pressure in Patients With Heart Failure]): A Phase 2, Randomized, Sham-Controlled Trial. Circulation. 2018;137(4):364-75. DOI: https://doi.org/10.1161/circulationaha.117.032094
Rodés-Cabau J, Bernier M, Amat-Santos IJ, Ben Gal T, Nombela-Franco L, García Del Blanco B, et al. Interatrial Shunting for Heart Failure: Early and late results from the first-in-human experience with the V-Wave system. JACC Cardiovasc Interv. 2018;11(22):2300-10. DOI: https://doi.org/10.1016/j.jcin.2018.07.001
Del Trigo M, Bergeron S, Bernier M, Amat-Santos IJ, Puri R, Campelo-Parada F, et al. Unidirectional left-to-right interatrial shunting for treatment of patients with heart failure with reduced ejection fraction: a safety and proof-of-principle cohort study. Lancet. 2016;387(10025):1290-7. DOI: https://doi.org/10.1016/s0140-6736(16)00585-7