Balloon-Expandable Transcatheter Aortic Valves Can Be Successfully and Safely Implanted Transfemorally Without Balloon Valvuloplasty

Autor: Neil Roberts, Muhiddin Ozkor, Suneil Aggarwal, John Yap, Markus Reinthaler, Bethany Wong, Michael J. Mullen, Asad N. Tamimi, Nicola Delahunty, Mun-Hong Cheang
Rok vydání: 2016
Předmět:
Zdroj: Journal of Interventional Cardiology. 29:319-324
ISSN: 0896-4327
DOI: 10.1111/joic.12291
Popis: Objectives To assess the necessity for balloon aortic valvuloplasty (BAV) during transfemoral transcatheter aortic valve implantation (TAVI) when using balloon-expandable valves. Background BAV is a usual part of TAVI procedures, prior to valve implantation. However, the benefits and necessity of this are unknown and recent evidence in self-expanding valves suggests it may not be necessary. Methods Retrospective single-center study of 154 patients undergoing first-time, transfemoral TAVI for native aortic valve stenosis, with (N = 76), and without (N = 78), BAV as part of the procedure. Data collected included demographic, procedural, and outcome data. Results BAV did not alter VARC-2 defined procedural success or early safety compared to not performing a BAV, including mortality, degree of aortic regurgitation, or need for post-TAVI balloon dilatation, although there was a strong trend to reduced stroke when not performing a BAV. There was a significantly reduced procedural time (P = 0.01) and fluoroscopic time (P
Databáze: OpenAIRE
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