PROCEDURE FOR BALLON

AORTICVALVULOPLASTY
(BAV)

AT R E N D Y V I E W S
DISCRIPTION

• Aortic valvuloplasty also known as balloon aortic valvotomy is the widening of a stenotic
aortic valve using a balloon catheter inside the valve. The balloon is placed into the aortic valve
that has become stiff from calcium buildup. The balloon is then inflated in an effort to increase
opening size of the valve and improving blood flow.
ARTICLES NEEDED...

PUNCTURE NEEDLE (18 G or 20 G)

SHEATH INTRODUCER 11CM 6F-2(SHEATHS SIZE DEPENDS ON AGE/WEIGHT OF

THE PATIENT) FOR ARTERY AND VEIN.
ARTICLES NEEDED...

GUIDEWIRE TEFLON 035*150 ST TIP

CATHETR JR 3.5, AL– I OR AL - II

ARTICLES NEEDED...

TEFLON GUIDEWIRE 035*260 J TIP

STIFF TEFLON WIRE 035 260 J TIP

ARTICLES NEEDED...

TPI LEAD AND TPI GENERATOR

DILUTED CONTRAST IN 20 CC SYRINGE OR IN INDIFLATOR

ARTICLES NEEDED...

AORTIC BALLOON
CATHLAB KIT

3 WAY WITH PRESSURE LINE

PRESSURE INJECTOR AND INJECTOR SYRINGE.

PREPARATION OF STERILE TROLLY

Sterile Scrubbing. Gowning and Gloving

Preparation of sterile trolley
 painting From umbilicus to middle of thigh)
PREPARATION OF STERILE TROLLY

Draping the patient in such away that inguinal fold lies diagonal to
the hole
Load 10ml of xylocaine in BD syringe
Load Heparin 5000IU (According to patient's weight) in 2ml
syringe
Flush the puncture needle, sheath, dilator catheters and guide wire.
PROCEDURE

Puncture the femoral vein and artery with puncture needle

(18 GX 7CM)
Introducing 0.035 Teflon introducer wire
Removing puncture needle
Making a small incision with scalpel blade no 11
PROCEDURE

Introducing 6F sheath with dilator in the vein

Introducing 6F sheath with dilator in the artery
Remove the dilators with wire & flush the sheaths with heparinized
saline.
Monitor the arterial pressure through the femoral arterial sheath.
Insert the catheter into the LV through the aortic valve with the help
of the Teflon guide wire.
PROCEDURE

• Exchange the catheter with a stiff guide wire which is compactable with the
balloon we use.
• Insert the TPI lead to the RV through the venous sheath, check the parameters
and keep ready for rapid pacing .
PROCEDURE

• Prepare the balloon in the trolley and keep it ready with negative
pressure.

• Insert the balloon through the stiff wire and position between aortic
valves.
PROCEDURE

• Prepare the balloon in the trolley and keep it ready with negative
pressure.
• Insert the balloon through the stiff wire and position between aortic
valves.
PROCEDURE

• Inflate the balloon with a 20cc or an indiflator simultaneous with

rapid pacing.

• Deflate the balloon and give adequate negative pressure and remove
the balloon.
PROCEDURE

• Insert the catheter again and check the aortic pressure gradient and
do an echocardiogram.

• Remove the sheath and compress the site till bleeding stops.

• Pressure dressing to be applied to avoid bleeding complications.

Thank You