{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:37:16Z","timestamp":1766486236432,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,28]]},"abstract":"<jats:p>Transcatheter therapy of valvular pulmonary stenosis is one of first catheter interventions facilitating its application in field of structural heart disease and now treatment of choice for significant pulmonary stenosis. Myriads of balloon catheter have been used for this purpose starting from Diamond (Boston Scientific,Natick, MA USA), Marshal (Medi-Tech,Watertown MAUSA), Innoue balloon, Tyshak I and currently Tyshak II. Diameter and length of balloon depend on size of annulus and age group, respectively. Problem with shorter balloon is difficulty in keeping it across the annulus while inflation as it tends to slip distally whereas with longer balloon, potential of tricuspid leak or conduction block as it may impinge on adjacent structures. Potential advantage of Accura balloon over Tyshak balloon lies in its peculiar shape while inflation and variable diameter, making stepwise dilatation possible. Here, we report a case of successful balloon pulmonary valvuloplasty using Accura balloon (Vascular Concept, UK) with little modification of conventional technique.<\/jats:p>","DOI":"10.1136\/bcr-2017-221533","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T07:25:45Z","timestamp":1507101945000},"page":"bcr-2017-221533","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Percutaneous balloon pulmonary valvuloplasty (PBPV) of extreme pulmonary valve stenosis by the use of Accura balloon"],"prefix":"10.1136","volume":"2017","author":[{"given":"Santosh Kumar","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Cardiology, LPS institute of Cardiology, Kanpur, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, LPS institute of Cardiology, Kanpur, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmadula","family":"Razi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiac Surgery, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukesh Jitendra","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiac Surgery, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,4]]},"reference":[{"key":"2025082701055322000_2017.oct03_1.bcr-2017-221533.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198208263070907"},{"key":"2025082701055322000_2017.oct03_1.bcr-2017-221533.2","first-page":"99","article-title":"Pulmonary valvuloplasty in adults using the Inoue balloon catheter","volume":"29","author":"Lau","year":"1993","journal-title":"Cathet Cardiovasc Diagn"},{"key":"2025082701055322000_2017.oct03_1.bcr-2017-221533.3","first-page":"374","article-title":"Inoue-Balloon Pulmonary Valvuloplasty Using a \u00d2Free-Float\u00d3 Technique","volume":"8","author":"Patel","year":"1996","journal-title":"J Invasive Cardiol"},{"key":"2025082701055322000_2017.oct03_1.bcr-2017-221533.4","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/S0167-5273(96)02901-4","article-title":"Versatility of Inoue balloon catheter","volume":"59","author":"Bahl","year":"1997","journal-title":"Int J Cardiol"},{"key":"2025082701055322000_2017.oct03_1.bcr-2017-221533.5","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.ihj.2013.12.010","article-title":"Percutaneous balloon pulmonary valvuloplasty: a modified over-the-wire Inoue balloon technique for difficult right ventricular anatomy","volume":"66","author":"Deora","year":"2014","journal-title":"Indian Heart J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:06:04Z","timestamp":1756281964000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,4]]},"references-count":5,"alternative-id":["10.1136\/bcr-2017-221533"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221533","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,10,4]]}}}