TY  - BOOK
AU  - Ben-Dor, Itsik
AU  - Lindsay, Joseph
AU  - Looser, Patrick M
AU  - Maluenda, Gabriel
AU  - Okubagzi, Petros
AU  - Pichard, Augusto D
AU  - Satler, Lowell F
AU  - Torguson, Rebecca
AU  - Waksman, Ron
AU  - Xue, Zhenyi
TI  - Outcomes of concomitant percutaneous coronary intervention and balloon aortic valvuloplasty
SN  - 1522-1946
PY  - 2013///
KW  - *Aortic Valve Stenosis/th [Therapy]
KW  - *Balloon Valvuloplasty
KW  - *Coronary Artery Disease/th [Therapy]
KW  - *Percutaneous Coronary Intervention
KW  - Aged
KW  - Aged, 80 and over
KW  - Aortic Valve Stenosis/co [Complications]
KW  - Aortic Valve Stenosis/di [Diagnosis]
KW  - Aortic Valve Stenosis/mo [Mortality]
KW  - Aortic Valve Stenosis/pp [Physiopathology]
KW  - Balloon Valvuloplasty/ae [Adverse Effects]
KW  - Balloon Valvuloplasty/mo [Mortality]
KW  - Contrast Media/du [Diagnostic Use]
KW  - Coronary Artery Disease/co [Complications]
KW  - Coronary Artery Disease/di [Diagnosis]
KW  - Coronary Artery Disease/mo [Mortality]
KW  - Coronary Artery Disease/pp [Physiopathology]
KW  - Feasibility Studies
KW  - Female
KW  - Hemodynamics
KW  - Humans
KW  - Kaplan-Meier Estimate
KW  - Male
KW  - Percutaneous Coronary Intervention/ae [Adverse Effects]
KW  - Percutaneous Coronary Intervention/mo [Mortality]
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Severity of Illness Index
KW  - Time Factors
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
N2  - AIM: To compare outcomes and complications of combined BAV and PCI with BAV alone; BACKGROUND: Coronary artery disease often coexists with severe aortic stenosis. The feasibility and safety of combined balloon aortic valvuloplasty (BAV) and percutaneous coronary intervention (PCI) are unknown; CONCLUSION: Combined BAV and PCI are safe and are associated with similar complications as BAV alone and may offer protection against myocardial ischemia during BAV. Copyright  2011 Wiley Periodicals, Inc; METHODS: The study cohort consisted of 409 patients with severe aortic stenosis undergoing BAV from 1/2007 to 12/2010. Overall, 329 patients underwent BAV alone and 80 underwent concomitant PCI. Clinical and hemodynamic data, as well as acute and intermediate-term outcomes, were collected; RESULTS: At the operator's discretion PCI was done before BAV in 66 (82.5%) and after in 14 (17.5%). Patients who underwent concomitant procedures had a higher incidence of prior stroke and a lower incidence of atrial fibrillation. Procedure time and fluoroscopic time were significantly greater in the BAV/PCI group, (90.0 + 36.6 vs. 72.8 + 39.8, P = 0.002 and 20.5 + 10.9 vs. 12.9 + 7.0, P < 0.001). Significantly more radiographic contrast was used in the BAV/PCI group (95.1 + 45.5 vs. 36.7 + 38.4 cm(3) , P < 0.001. Serious adverse events occurred with equal frequency 13.7 and 17.3%, P = 0.44). Transfusion requirement was also similar (21.2% vs. 20.0%, P = 0.81). The frequency of a periprocedural increase in troponin or creatinine was also similar. In the BAV alone group the mortality rate was 48.6% (n = 160) during a mean follow-up of 191 days, and in the BAV/PCI group the mortality rate was 40% (n = 32) during mean follow-up of 175.5 day, P = 0.34
UR  - http://dx.doi.org/10.1002/ccd.23193
ER  -