Title: Immediate results and 12-month survival after balloon aortic valvuloplasty for critical aortic stenosis in end-stage heart failure patients at high risk of surgical aortic valve replacement
Abstract: Address for correspondence: dr n. med. Krzysztof Wilczek, III Katedra i Oddzial Kliniczny Kardiologii SUM, Śląskie Centrum Chorob Serca, ul. M. Sklodowskiej-Curie 9, 41-800 Zabrze, tel. +48 32 373 36 19, Email: [email protected] Abstract Aim of the study: The aim of the study was to assess immediate haemodynamic results and 12-month survival of patients with critical aortic valve stenosis, severe heart failure and high surgical risk, treated with balloon aortic valvuloplasty (BAV). Material and methods: The prospective registry comprised the first consecutive BAV-treated patients with NYHA class IV and operative risk ≥ 20% according to the Logistic EuroSCORE, and patients disqualified from surgical treatment for any reason. Baseline and post-BAV values of aortic valve area (AVA), left ventricle ejection fraction (LVEF) and pulmonary hypertension (RVSP) were compared. The primary end-point was 12-month survival. BAV procedures were performed via femoral artery access, under local anaesthesia. Results: The study group consisted of 15 patients (11 female), aged 78.3 ±5.9 years with a mean Log EuroSCORE = 27.0 ±9.56%. Six patients had cardiogenic shock. One procedure was complicated by acute coronary artery occlusion. The mean aortic valve area increased from 0.57 ±0.18 cm2 to 0.93 ±0.28 cm2 (P = 0.0008). Four patients underwent transcatheter aorImmediate results and 12-month survival after balloon aortic valvuloplasty for critical aortic stenosis in endstage heart failure patients at high risk of surgical aortic valve replacement
Publication Year: 2012
Publication Date: 2012-03-31
Language: en
Type: article
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Cited By Count: 1
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