Clinical outcomes following balloon aortic valvuloplasty
| Autor: | Anda Bularga, David E. Newby, Rong Bing, Anoop S V Shah, Philip D Adamson, Andrew D. Flapan, Neal G. Uren, Miles Behan, Nicholas L. Cruden |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
Balloon Valvuloplasty Male medicine.medical_specialty Time Factors Transcatheter aortic medicine.medical_treatment 030204 cardiovascular system & hematology Balloon Risk Assessment Severity of Illness Index valvuloplasty 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans percutaneous valve therapy In patient 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over Ejection fraction business.industry Hemodynamics Aortic Valve Stenosis Recovery of Function aortic valve disease medicine.disease Aortic valvuloplasty Stenosis medicine.anatomical_structure Treatment Outcome Valvular Heart Disease Cardiology Observational study Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Open Heart |
| ISSN: | 2053-3624 |
| Popis: | BackgroundBalloon aortic valvuloplasty (BAV) remains a treatment option for the selected patients with severe aortic stenosis. We examined clinical outcomes and predictors of prognosis in patients undergoing BAV for severe aortic stenosis.MethodsWe identified all patients undergoing BAV from January 2010 to March 2018 (n=167) at a single transcatheter aortic valve implantation (TAVI) centre. Patient demographics, investigations, subsequent interventions and clinical outcomes were obtained from electronic health records.ResultsPatients undergoing BAV were elderly (median age 80, IQR 73–86 years) and half (n=87, 52%) were male. All-cause mortality at 30 days and 12 months was 11% and 43%, respectively. Reduce ejection fraction (EF 30%–50%: HR 1.76, 95% CI 1.05 to 2.94; EF ConclusionBAV as a bridge to definitive aortic valve intervention in carefully selected patients offers acceptable outcomes. These contemporary observational findings demonstrate the ongoing potential utility of BAV in the TAVI era. |
| Databáze: | OpenAIRE |
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