Key result
Direct transapical aortic valve implantation without pre-ballooning showed no significant differences in primary endpoints compared to pre-ballooning, and was associated with lower fluoroscopy time.
Why the study?
Does direct transapical aortic valve implantation without pre-ballooning improve procedural and clinical outcomes in high-risk elderly patients compared to implantation with pre-ballooning?
Population
128 high-risk elderly patients undergoing transapical aortic valve implantation using Edwards SAPIEN XT valves
Comparison
Direct transapical aortic valve implantation… vs Transapical aortic valve implantation with prior…
Design
Cohort
Follow-up
30 days
Authors
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May support omitting pre-ballooning to reduce fluoroscopy time; leaves open safety confirmation in randomized trials.
Cohort (n=128)
Does direct transapical aortic valve implantation without pre-ballooning improve procedural and clinical outcomes in high-risk elderly patients compared to implantation with pre-ballooning?
Direct transapical aortic valve implantation without pre-ballooning is feasible, safe, and may reduce fluoroscopy time and neurological events compared to standard pre-ballooning.
Kempfert et al. (2014) conducted a cohort in Aortic valve disease (n=128). Direct transapical aortic valve implantation without pre-ballooning vs. Transapical aortic valve implantation with pre-ballooning was evaluated on Aortic valve incompetence ≥2+, Pmean postimplantation, major stroke, transient ischaemic attack (TIA), requirement for post-dilatation and necessity for new pacemaker implantation. Direct transapical aortic valve implantation without pre-ballooning showed no significant differences in primary endpoints compared to pre-ballooning, and was associated with lower fluoroscopy time.
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