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Titolo:
Balloon aortic valvuloplasty revisited: The role of the Inoue balloon and transseptal antegrade approach
Autore:
Eisenhauer, AC; Hadjipetrou, P; Piemonte, TC;
Indirizzi:
Brigham & Womens Hosp, Intervent Cardiovasc Med Serv, Boston, MA 02115 USABrigham & Womens Hosp Boston MA USA 02115 Med Serv, Boston, MA 02115 USA Lahey Clin Med Ctr, Burlington, MA 01803 USA Lahey Clin Med Ctr Burlington MA USA 01803 Ctr, Burlington, MA 01803 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 4, volume: 50, anno: 2000,
pagine: 484 - 491
SICI:
1522-1946(200008)50:4<484:BAVRTR>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-LUMINAL VALVULOPLASTY; LONG-TERM SURVIVAL; VALVE-REPLACEMENT; CARDIOGENIC-SHOCK; ELDERLY PATIENTS; NATURAL-HISTORY; STENOSIS; ADULTS; COMPLICATIONS; MANAGEMENT;
Keywords:
aortic valve; valvuloplasty; Inoue balloon;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Eisenhauer, AC Brigham & Womens Hosp, Intervent Cardiovasc Med Serv, 75 Francis St, Boston, MA 02115 USA Brigham & Womens Hosp 75 Francis St Boston MA USA 02115 USA
Citazione:
A.C. Eisenhauer et al., "Balloon aortic valvuloplasty revisited: The role of the Inoue balloon and transseptal antegrade approach", CATHET C IN, 50(4), 2000, pp. 484-491

Abstract

Percutaneous aortic balloon valvuloplasty (PABV) was developed to provide a less invasive alternative to aortic valve replacement. Despite initially favorable results, PABV has not produced reliable and durable outcomes. TheInoue balloon used for PABV via an antegrade transseptal approach may offer an improvement over the Mansfield balloons via the identical route. Thirteen consecutive patients with severe symptomatic aortic stenosis were referred for percutaneous aortic balloon valvuloplasty. All patients were considered unacceptably high-risk surgical candidates. Seven consecutive patientsunderwent antegrade transseptal PABV with Mansfield balloons and in the following six the Inoue balloon was used. The study group was characterized by advanced age (mean, 77) and multiple comorbid conditions (mean, 2.5/patient). Before PABV, the two groups did not differ with respect to age, mean NYHA class, LVEF, transaortic gradient, cardiac output, or aortic valve area. All patients had initial hemodynamic improvement. Complications included one stroke and one vascular injury. After valvuloplasty, cardiac output wasnot significantly changed. However, there was a significant decrease in aortic gradient and an increase in aortic valve area in both groups; the increase in aortic valve area was significantly greater in those treated with the Inoue balloon (P = 0.039), Total follow-up mortality was high but appeared to be delayed in the Inoue group. The use of the Inoue balloon with an antegrade transseptal approach warrants further investigation as a preferredtechnique for PABV. Cathet Cardiovasc. Intervent 50:484-491, 2000. (C) 2000 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 04:07:21