Aortic balloon valvuloplasty before transcatheter valve replacement in high-risk patients with aortic stenosis. Cardiac catheterization and echocardiographic hemodynamic study.

Background: Balloon aortic valvuloplasty (BAV) has been revived as a bridge to transcatheter aortic valve replacement (TAVR). The aim of the current prospective study was to define a safe time period from BAV to TAVR and to determine hemodynamic variables that predict event-free survival after BAV.

Patients And Methods: The present prospective study included 68 consecutive patients with severe aortic stenosis who were treated initially with BAV from 2009 to 2012.

Balloon valvuloplasty as destination therapy in elderly with severe aortic stenosis: a cardiac catheterization study.

Background: In the current era of transcatheter aortic valve replacement, there is renewed interest in balloon aortic valvuloplasty (BAV) and invasive hemodynamic evaluation of aortic stenosis (AS). The current report aimed to study the invasive hemodynamics of severe AS patients treated with BAV as destination therapy and to identify factors associated with better hemodynamic outcome and prognosis.

Methods: From 2009 to 2012, 63 high risk elderly patients were treated with BAV as destination therapy for symptomatic severe AS and were all prospectively included in the study.

Primary percutaneous coronary intervention in an acute myocardial infarction due to the occlusion of the left main coronary artery.

A 75-year-old woman with no prior medical history was admitted to the hospital because of retrosternal pain for six hours, presenting in a state of cardiogenic shock, specifically hypotension, dyspnoea and slight confusion. Her admission ECG showed ST-segment elevation in the anterolateral leads. Having been started on aspirin, clopidogrel, heparin and dopamine, the patient was immediately transferred to the catheterisation laboratory.

Suitability of venous and arterial conduits used for coronary artery bypass grafting in conjunction with coronary disease risk factors.

Unlabelled: BACKGROUND/STUDY OBJECTIVES: We studied patients undergoing coronary artery bypass grafting. Risk factors for coronary disease were studied in conjunction with the histopathologic findings of the grafts prior to implantation. Our aim was to correlate the histologic condition of the grafts and evaluate the morphological changes in conjunction with existing risk factors.

Coronary vessel perforation during balloon angioplasty: a case report.

Coronary perforation can be managed with prolonged balloon inflations, covered stents, or embolization of the vessel. We report on a case of a balloon-induced perforation of the distal left anterior descending artery, that was sealed by injecting preclotted autologous blood through the balloon catheter lumen at the site of the perforation. The patency of the distal vessel was maintained.