Procedural and postoperative outcomes following balloon aortic valvuloplasty in severe aortic stenosis patients with left ventricular ejection fractions <20%




Background


Severe aortic stenosis (AS) patients with left ventricular ejection fraction (LVEF) <20% are currently excluded from transcatheter aortic valve implant trials and are believed to be at higher risk for balloon aortic valvuloplasty (BAV).




Methods


Our BAV database, including 260 consecutive patients extending from 2005 to 2010, was reviewed for patients with LVEF <20%. A total of 16 patients were identified. Demographics, hemodynamics, procedural technique, and outcomes were analyzed. All patients underwent BAV by retrograde technique using standard noncompliant aortic balloons with rapid ventricular pacing at 180–220 beats per minute. Intravenous inotropes and vasopressors were used to maintain systolic blood pressures >90 mmHg.




Methods


Our BAV database, including 260 consecutive patients extending from 2005 to 2010, was reviewed for patients with LVEF <20%. A total of 16 patients were identified. Demographics, hemodynamics, procedural technique, and outcomes were analyzed. All patients underwent BAV by retrograde technique using standard noncompliant aortic balloons with rapid ventricular pacing at 180–220 beats per minute. Intravenous inotropes and vasopressors were used to maintain systolic blood pressures >90 mmHg.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Procedural and postoperative outcomes following balloon aortic valvuloplasty in severe aortic stenosis patients with left ventricular ejection fractions <20%

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