In‐hospital and long‐term outcomes of percutaneous balloon aortic valvuloplasty with concomitant percutaneous coronary intervention in patients with severe aortic stenosis
Key result
Balloon aortic valvuloplasty with concomitant PCI was associated with lower long-term mortality than BAV with concomitant coronary angiography in severe aortic stenosis (28.5% vs 51.0%; P=0.03).
Why the study?
Does concomitant PCI during balloon aortic valvuloplasty improve long-term outcomes and survival in patients with severe aortic stenosis?
Population
97 patients with severe aortic stenosis undergoing balloon aortic valvuloplasty as a palliative procedure…
Comparison
Balloon aortic valvuloplasty with concomitant… vs Standalone BAV or BAV with concomitant coronary…
Design
Cohort
Follow-up
at least 12 months
Authors
Discussion
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Implication
Should not yet change BAV practice in severe AS; hypothesis-generating for concomitant PCI and needs prospective confirmation.
Study Design
Type
Cohort (n=97)
Structured PICO
Does concomitant PCI during balloon aortic valvuloplasty improve long-term outcomes and survival in patients with severe aortic stenosis?
P
Population
97 patients with severe aortic stenosis undergoing balloon aortic valvuloplasty as a palliative procedure, bridge to definitive treatment, or before urgent non-cardiac surgery, followed for at least 12 months.
E
Exposure
Balloon aortic valvuloplasty (BAV) with concomitant percutaneous coronary intervention (PCI)
C
Comparator
Standalone BAV or BAV with concomitant coronary angiography
O
Outcome
Procedural complications and long-term mortality at least 12 months follow-uphard clinical
Main Result
Absolute Event Rate: 28.5% vs 51%
p-value: p=0.03
Concomitant PCI during balloon aortic valvuloplasty in patients with severe aortic stenosis does not increase procedural complications and may improve long-term survival compared to BAV with angiography alone.
Cite This Study
Daniec et al. (2017) conducted a cohort in Severe aortic stenosis (n=97). Balloon aortic valvuloplasty with concomitant percutaneous coronary intervention vs. Balloon aortic valvuloplasty with concomitant coronary angiography was evaluated on long-term mortality (p=0.03). Balloon aortic valvuloplasty with concomitant PCI was associated with lower long-term mortality than BAV with concomitant coronary angiography in severe aortic stenosis (28.5% vs 51.0%; P=0.03).