SHORT-TERM AND LONG-TERM SURVIVAL AFTER AORTIC BALLOON VALVULOPLASTY FOR CALCIFIED AORTIC-STENOSIS IN 137 ELDERLY PATIENTS

被引:0
|
作者
KASTRUP, J
WENNEVOLD, A
THUESEN, L
NIELSEN, TT
KASSIS, E
FRITZHANSEN, P
THAYSSEN, P
机构
[1] RIGSHOSP,DEPT INTERNAL MED,DIV CARDIOL,COPENHAGEN,DENMARK
[2] GENTOFTE UNIV HOSP,HELLERUP,DENMARK
[3] ODENSE UNIV HOSP,AARHUS,DENMARK
[4] SKEJBY HOSP,AARHUS,DENMARK
来源
DANISH MEDICAL BULLETIN | 1994年 / 41卷 / 03期
关键词
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous transluminal balloon aortic valvuloplasty was performed in 137 patients with symptomatic severe calcified aortic stenosis (50 men and 87 women, mean age 77 years) between December 1986 and September 1990. The purpose of the study was to evaluate short- and long-term survival after balloon aortic valvuloplasty, mean follow-up was 19 months. At the time of balloon aortic valvuloplasty congestive heart failure (NYHA III-IV) was present in 89%, angina pectoris in 47%, and syncope in 31% of the patients. Aortic balloon dilatation produced significant decreases in peak pressure gradient from 91 +/- 34 mmHg to 40 +/- 26 mmHg (p<0.001). The procedure related mortality was 8% (11 pts) and the 30-days mortality 17% (23 pts). Severe complications occurred in 25% of the patients during the procedure and within the first 24 hours. Immediate clinical improvement was noted in 68% of the patients surviving the treatment. The overall survival rate was at oner two. three and four years follow-up 63%, 40%, 28%, and 21%, respectively. These survival rates were all statistically different from the survival rates in an age- and sex-matched background population (p<0.001), A multivariate Cox analysis revealed that only female sex and angina before treatment seemed to improve survival. Conclusion: The longterm outcome after aortic balloon valvuloplasty for severe aortic stenosis is so poor that we recommend aortic valve replacement as the initial treatment in these patients, if at all possible.
引用
收藏
页码:362 / 365
页数:4
相关论文
共 50 条
  • [31] Revival of an old method with new techniques: balloon aortic valvuloplasty of the calcified aortic stenosis in the elderly
    Stefan Sack
    Philipp Kahlert
    Sasan Khandanpour
    Christoph Naber
    Sebastian Philipp
    Stefan Möhlenkamp
    Burkhard Sievers
    Hagen Kälsch
    Raimund Erbel
    Clinical Research in Cardiology, 2008, 97 : 288 - 297
  • [32] CONGENITAL VALVULAR AORTIC-STENOSIS - LONG-TERM RESULTS AFTER VALVULOTOMY
    CHAMPSAUR, G
    NINET, J
    FRIEH, JP
    BOZIO, A
    SASSOLAS, F
    ELKIRAT, M
    BRULE, P
    GRESSIER, M
    MICHAUD, P
    ARCHIVES DES MALADIES DU COEUR ET DES VAISSEAUX, 1985, 78 (02): : 220 - 224
  • [33] Long-Term Results of Percutaneous Balloon Aortic Valvuloplasty in Children With Aortic Stenosis: A Single-Center Experience
    Dogan, Eser
    Levent, Erturk
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (07)
  • [34] Revival of an old method with new techniques:: balloon aortic valvuloplasty of the calcified aortic stenosis in the elderly
    Sack, Stefan
    Kahlert, Philipp
    Khandanpour, Sasan
    Naber, Christoph
    Philipp, Sebastian
    Moehlenkamp, Stefan
    Sievers, Burkhard
    Kaelsch, Hagen
    Erbel, Raimund
    CLINICAL RESEARCH IN CARDIOLOGY, 2008, 97 (05) : 288 - 297
  • [35] Long-term results of percutaneous balloon aortic valvuloplasty in children with aortic stenosis: a single-center experience
    Godlewski, Krzysztof
    Werner, Bozena
    KARDIOLOGIA POLSKA, 2020, 78 (06) : 559 - 566
  • [36] CLINICAL AND NONINVASIVE HEMODYNAMIC-RESULTS AFTER AORTIC BALLOON VALVULOPLASTY FOR AORTIC-STENOSIS
    DESNOYERS, MR
    ISNER, JM
    PANDIAN, NG
    WANG, SS
    HOUGEN, T
    FIELDS, CD
    LUCAS, AR
    SALEM, DN
    AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (16): : 1078 - 1084
  • [37] SUBVALVULAR AORTIC-STENOSIS - LONG-TERM SURGICAL RESULTS
    BINET, JP
    LOSAY, J
    DEMONTOUX, S
    PLANCHE, C
    LANGLOIS, J
    THORACIC AND CARDIOVASCULAR SURGEON, 1983, 31 (02): : 96 - 100
  • [38] LONG-TERM RESULTS OF CONSERVATIVE SURGERY FOR AORTIC-STENOSIS
    VERNANT, P
    GAUDEAU, S
    GUERIN, F
    CORONE, P
    COEUR, 1977, 8 (03): : 527 - 528
  • [39] Long-term outcome of balloon aortic valvuloplasty in infants and children
    Witsenburg, M
    Helbing, WA
    Dalinghaus, M
    Berger, RMF
    EUROPEAN HEART JOURNAL, 2002, 23 : 623 - 623
  • [40] EJECTION LOAD CHANGES IN AORTIC-STENOSIS - OBSERVATIONS MADE AFTER BALLOON AORTIC VALVULOPLASTY
    SHIM, Y
    HAMPTON, TG
    STRALEY, CA
    HARRISON, JK
    SPERO, LA
    BASHORE, TM
    PASIPOULARIDES, AD
    CIRCULATION RESEARCH, 1992, 71 (05) : 1174 - 1184