January 1, 1990Japanese Heart JournalOpen Access

Short-lasting hemodynamic and clinical benefits from percutaneous balloon valvuloplasty for calcific aortic stenosis.

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Why the study?

Does percutaneous aortic balloon valvuloplasty provide sustained clinical and hemodynamic benefits in elderly patients with severe calcific aortic stenosis?

Population

40 consecutive elderly patients with severe calcific aortic stenosis, mean age 71.5 years, 60% male. 57.5%…

Design

Cohort

Follow-up

mean 10.1 ± 5.2 months

Authors

RCR ChioinSan Diego Cardiac Center ARAngelo RamondoOspedale San Bortolo FCFabio ChirilloOspedale San Bassiano

Discussion

Member takes

Implication

High restenosis rate may limit durability in severe calcific aortic stenosis; leaves open bridge-to-surgery role pending randomized trials.

Structured PICO

Does percutaneous aortic balloon valvuloplasty provide sustained clinical and hemodynamic benefits in elderly patients with severe calcific aortic stenosis?

Population

40 consecutive elderly patients with severe calcific aortic stenosis, mean age 71.5 years, 60% male. 57.5% had NYHA class III or IV dyspnea, 50% had angina, and 40% had poor left ventricular function (EF <40%).

Intervention

Percutaneous aortic balloon valvuloplasty (ABV) performed by retrograde left heart catheterization via the femoral approach.

Outcome

Death, aortic valve replacement, repeat ABV, and clinical status at 12-month follow-up, as well as restenosis (defined as a loss of 50% or more of the increase in aortic valve area obtained by the dilatation).composite

Percutaneous aortic balloon valvuloplasty in elderly patients with severe calcific aortic stenosis provides only short-lived hemodynamic and clinical benefits with a high restenosis rate, suggesting it should be reserved as a bridge to surgery or for truly inoperable cases.

Cite This Study

Chioin et al. (1990) studied this question.

synapsesocial.com/papers/6a6f4abeac440176ef27fe7c https://doi.org/10.1536/ihj.31.609

Topics

Echocardiography

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Implication

High restenosis rate may limit durability in severe calcific aortic stenosis; leaves open bridge-to-surgery role pending randomized trials.

Short-lasting hemodynamic and clinical benefits from percutaneous balloon valvuloplasty for calcific aortic stenosis.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Short-lasting hemodynamic and clinical benefits from percutaneous balloon valvuloplasty for calcific aortic stenosis.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider