Abstract 14381: Balloon Aortic Valvuloplasty and Percutaneous Coronary Intervention in Patients with Severe Aortic Stenosis
Background: Coronary artery disease is often present with severe aortic stenosis. The feasibility and safety of combined balloon aortic valvuloplasty (BAV) and percoutaneous intervention are unknown. Aim: To compare outcomes and complications of combined BAV+PCI with BAV alone.
Methods: The study cohort consisted of 288 patients with severe aortic stenosis undergoing BAV between 1/2007 to 12/2009. 235 patients underwent BAV alone and 53 underwent BAV+PCI. Clinical, hemodynamic, complication and follow up mortality data were collected.
Results: There was no significant differences in the baseline characteristics of both groups. (Table) Fluoroscopic time and contrast were significantly higher in the BAV+PCI group. Serious adverse events, transfusion and post-procedure renal failure were not significantly different between groups. PCI was done before BAV in 44 (83%) and after in 9 (17%). In the BAV alone group the mortality rate was 48% (n=114) during a mean follow-up of 317 days, and in the BAV+PCI group the mortality rate was 40.7 (n=22) during a mean follow-up of 250 days.
Conclusions: Combined BAV and PCI is safe and is associated with similar complications as BAV alone.
- © 2010 by American Heart Association, Inc.