Immediate results and long-term follow-up after repeat balloon aortic valvuloplasty.

Balloon aortic valvuloplasty (BAV) was performed in 219 elderly patients with aortic stenosis between December 1985 and April 1990. Forty-three patients underwent repeat BAV for symptomatic restenosis of the aortic valve 13 +/- 8 mo following initial BAV. To evaluate the outcome following initial and repeat BAV, hemodynamic results were analyzed according to the following subgroups: BAV 1--initial BAV for all patients (n = 219); BAV 1/1--initial BAV in those who had only one BAV (n = 176); BAV 1/2--the initial BAV in those who had repeat BAV (n = 43); and BAV 2--repeat BAV (n = 43). The mean age of patients undergoing BAV 2 was 82 +/- 6 yr compared to 78 +/- 10 yr for all patients undergoing BAV 1 (p = .01). At the time of BAV 1 there was no difference in baseline or post-valvuloplasty aortic valve area (AVA) or peak aortic valve gradient (AVG) for patients having BAV 1/1 compared to those having BAV 1/2. However, for patients having repeat BAV, although the magnitude of the hemodynamic improvement of BAV 1/2 (AVA increased from 0.6 to 0.9 cm2, AVG decreased from 68 to 34 mm Hg, p less than .001) was similar to the magnitude of the hemodynamic improvement of BAV 2 (AVA increased from 0.5 to 0.8 cm2, AVG decreased from 65 to 34 mm Hg, p less than .001), the baseline AVA (0.5 cm2 at BAV 2 vs. 0.6 at BAV 1/2) and the post-valvuloplasty AVA (0.8 cm2 at BAV 2 vs. 0.9 at BAV 1/2) were significantly smaller (p less than .004).(ABSTRACT TRUNCATED AT 250 WORDS)

[1]  R. Weintraub,et al.  Aortic valve operation after percutaneous aortic balloon valvuloplasty. , 1990, The Annals of thoracic surgery.

[2]  A. Cribier,et al.  Aortic stenosis in elderly patients aged 80 or older. Treatment by percutaneous balloon valvuloplasty in a series of 92 cases. , 1989, Circulation.

[3]  G. Dorros,et al.  Percutaneous transluminal aortic valvuloplasty: acute outcome and follow-up of 125 patients. , 1989, Journal of the American College of Cardiology.

[4]  C. White,et al.  Repeat balloon aortic valvuloplasty for aortic valve restenosis. , 1989, Catheterization and cardiovascular diagnosis.

[5]  C. Otto,et al.  Hemodynamic progression of aortic stenosis in adults assessed by Doppler echocardiography. , 1989, Journal of the American College of Cardiology.

[6]  R. Koning,et al.  Insights on the mechanism of balloon valvuloplasty in aortic stenosis. , 1988, The American journal of cardiology.

[7]  I. Palacios,et al.  Clinical and hemodynamic follow-up after percutaneous aortic valvuloplasty in the elderly. , 1988, The American journal of cardiology.

[8]  A. Cribier,et al.  Results of percutaneous transluminal valvuloplasty in 218 adults with valvular aortic stenosis. , 1988, The American journal of cardiology.

[9]  J. S. Weinstein,et al.  Balloon aortic valvuloplasty in 170 consecutive patients. , 1988, The New England journal of medicine.

[10]  P. Block Aortic valvuloplasty--a valid alternative? , 1988, The New England journal of medicine.

[11]  G. Hutchins,et al.  Postmortem and intraoperative balloon valvuloplasty of calcific aortic stenosis in elderly patients: mechanisms of successful dilation. , 1987, Journal of the American College of Cardiology.

[12]  A. Berman,et al.  Assessment of left ventricular and aortic valve function after aortic balloon valvuloplasty in adult patients with critical aortic stenosis. , 1987, Circulation.

[13]  S. Schnitt,et al.  Balloon dilatation of calcific aortic stenosis in elderly patients: postmortem, intraoperative, and percutaneous valvuloplasty studies. , 1986, Circulation.

[14]  Nadir Saoudi,et al.  PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY OF ACQUIRED AORTIC STENOSIS IN ELDERLY PATIENTS: AN ALTERNATIVE TO VALVE REPLACEMENT? , 1986, The Lancet.

[15]  B. Brundage,et al.  Rate of progression of severity of valvular aortic stenosis in the adult. , 1979, American heart journal.