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The effect of multiple-inflation balloon aortic valvuloplasty
- Source :
- Heart and Vessels. 35:1557-1562
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Recent improvements of balloon aortic valvuloplasty (BAV) devices and procedures have provided improved outcomes, but it is not clear whether the multiple-inflation BAV technique is effective in patients with symptomatic severe aortic valve stenosis (AS). We conducted an analysis of the impact of multiple-inflation BAV (at least 6 times inflation) on the mean aortic valve area (AVA) and mean aortic valve pressure gradient (AV-PG) in patients with symptomatic severe aortic stenosis as compared with conventional BAV (from single to three times inflation). We identified two studies of multiple-inflation BAV with antegrade approach using Inoue-balloon catheter (425 patients) and four studies of conventional BAV (170 patients) with retrograde approach. Using a random intercept model, we found that multiple-inflation BAV significantly increased mean AVA (mean difference (MD) [95% indicates confidence interval (CI)] = 0.25 [0.16–0.34], P
- Subjects :
- Balloon Valvuloplasty
Male
Aortic valve
medicine.medical_specialty
medicine.medical_treatment
030204 cardiovascular system & hematology
Balloon
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
030212 general & internal medicine
Aged
Aged, 80 and over
business.industry
Hemodynamics
Aortic Valve Stenosis
Recovery of Function
Vascular surgery
medicine.disease
Confidence interval
Aortic valvuloplasty
Cardiac surgery
Stenosis
Treatment Outcome
medicine.anatomical_structure
Aortic Valve
Aortic valve stenosis
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 16152573 and 09108327
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Heart and Vessels
- Accession number :
- edsair.doi.dedup.....ac9e0d9f337660703d4efd1629b22bea