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dc.contributor.authorFord, Tom-
dc.contributor.otherNguyen, K.-
dc.contributor.otherBrassil, J.-
dc.contributor.otherKushwaha, V.-
dc.contributor.otherFriedman, D.-
dc.contributor.otherAllan, R.-
dc.contributor.otherPitney, M.-
dc.contributor.otherJepson, N.-
dc.description.abstractBACKGROUND: The introduction of transcatheter aortic valve implantation (TAVI) has generated a renewed interest in the techniques available to treat high-risk patients with severe aortic stenosis (AS). We report our single centre experience with balloon aortic valvuloplasty (BAV) focussing on indications, procedural success and 30-day outcomes. METHODS: We retrospectively reviewed all patients that underwent BAV procedures at our institution between August 2012 and August 2014. Procedural success and complications were adjudicated according to VARC-2 criteria. RESULTS: Fifty-one consecutive adult patients with severe symptomatic AS underwent a total of 55 BAV procedures. The patients had a mean age of 88+/-5.7 years and all had extensive comorbidities with a high surgical risk (mean logistic EuroSCORE of 25.22%+/-14.5%). Indications for BAV included palliation of symptoms n=42 (76%); bridge to definitive valve replacement (n=6, 11%); and evaluation of response (n=6, 11%). The procedure was completed in all patients with no intraprocedural deaths (within 24hours) and low 30-day mortality at 3.9% (n=2). Minor vascular complications occurred in 11.8% (n=6), whilst permanent pacemaker implantation was required in 5.8% (n=3). There were no cases of myocardial infarction, stroke, tamponade, severe aortic regurgitation or major vascular complications during 30-day follow-up. CONCLUSIONS: Balloon aortic valvuloplasty may be performed safely and effectively with high procedural success and low 30-day complications, even in a very high-risk and elderly cohort of patients in whom the role of TAVI is uncertain or inappropriate.en
dc.subjectCardiovascular Diseaseen
dc.subjectHeart Diseaseen
dc.titleBalloon Aortic Valvuloplasty in the Transcatheter Valve Era: Single Centre Indications and Early Safety Data in a High Risk Populationen
dc.typeJournal Articleen
dc.description.affiliatesCentral Coast Local Health Districten
dc.description.affiliatesGosford Hospitalen
dc.identifier.journaltitleHeart Lung and Circulationen
dc.identifier.journaltitleHeart, Lung & Circulationen
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
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