MedStar Authors catalog › Details for: Comparison of outcomes of balloon aortic valvuloplasty plus percutaneous coronary intervention versus percutaneous aortic balloon valvuloplasty alone during the same hospitalization in the United States.
Comparison of outcomes of balloon aortic valvuloplasty plus percutaneous coronary intervention versus percutaneous aortic balloon valvuloplasty alone during the same hospitalization in the United States.
Citation: American Journal of Cardiology. 115(4):480-6, 2015 Feb 15..Journal: The American journal of cardiology.ISSN: 0002-9149.Full author list: Singh V; Patel NJ; Badheka AO; Arora S; Patel N; Macon C; Savani GT; Manvar S; Patel J; Thakkar B; Panchal V; Solanki S; Patel N; Chothani A; Panaich SS; Ram V; Kliger CA; Schreiber T; O' Neill W; Cohen MG; Alfonso CE; Grines CL; Mangi A; Pfau S; Forrest JK; Cleman M; Makkar R.UI/PMID: 25543235.Subject(s): Aged | Aged, 80 and over | Aortic Valve Stenosis/mo [Mortality] | *Aortic Valve Stenosis/su [Surgery] | *Balloon Valvuloplasty | Female | Hospital Mortality/td [Trends] | Humans | Length of Stay/td [Trends] | Male | *Percutaneous Coronary Intervention | Prognosis | Retrospective Studies | Survival Rate/td [Trends] | Time Factors | United States/ep [Epidemiology]Institution(s): MedStar Washington Hospital CenterDepartment(s): Medicine/General Internal MedicineActivity type: Journal Article.Medline article type(s): Comparative Study | Journal Article | Multicenter StudyDigital Object Identifier: http://dx.doi.org/10.1016/j.amjcard.2014.11.032 (Click here)Abbreviated citation: Am J Cardiol. 115(4):480-6, 2015 Feb 15.Local Holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006.Abstract: The use of percutaneous aortic balloon balvotomy (PABV) in high surgical risk patients has resurged because of development of less invasive endovascular therapies. We compared outcomes of concomitant PABV and percutaneous coronary intervention (PCI) with PABV alone during same hospitalization using nation's largest hospitalization database. We identified patients and determined time trends using the International Classification of Diseases, Ninth Revision, Clinical Modification, procedure code for valvulotomy from Nationwide Inpatient Sample database 1998 to 2010. Only patients >60 years with aortic stenosis were included. Primary outcome included in-hospital mortality, and secondary outcomes included procedural complications, length of stay (LOS), and cost of hospitalization. Total 2,127 PABV procedures were identified, with 247 in PABV + PCI group and 1,880 in the PABV group. Utilization rate of concomitant PABV + PCI during same hospitalization increased by 225% from 5.1% in 1998 to 1999 to 16.6% in 2009 to 2010 (p <0.001). Overall in-hospital mortality rate and complication rates in PABV + PCI group were similar to that of PABV group (10.3% vs 10.5% and 23.4% vs 24.7%, respectively). PABV + PCI group had similar LOS but higher hospitalization cost (median [interquartile range]