PMID- 8741239
OWN - NLM
STAT- MEDLINE
DCOM- 19961119
LR  - 20190817
IS  - 0047-1828 (Print)
IS  - 0047-1828 (Linking)
VI  - 60
IP  - 3
DP  - 1996 Mar
TI  - Comparison of aortic valve replacement and percutaneous aortic balloon 
      valvuloplasty for elderly patients with aortic stenosis.
PG  - 142-8
AB  - The outcome of aortic balloon valvuloplasty (ABV) was compared with that of 
      aortic valve replacement (AVR) in aortic stenosis (AS) patients more than 60 
      years old. The indications for ABV included low respiratory and renal function, 
      cancer, the patient's refusal of surgery, and low daily activity. Twenty six 
      patients underwent AVR and 13 underwent ABV. Initially, the AVR group was younger 
      and more symptomatic than the ABV group. Two perioperative deaths occurred in the 
      AVR group, while there were none in the ABV group. Twenty-four AVR patients and 
      12 ABV patients had a successful outcome, with remarkable pressure gradient 
      reduction in both groups. In the follow-up, only 1 death and no cardiac events 
      were detected in the AVR group (mean follow-up of 27 months), whereas 3 deaths, 6 
      heart failures, 2 repeated ABV, and 4 AVR were seen in the ABV group (mean 
      follow-up of 10 months). The data showed that ABV was safer than AVR, but a 
      higher rate of restenosis limited its efficacy. In the ABV group, a higher ratio 
      of balloon size to aortic diameter correlated with longer event-free survival. We 
      concluded that for elderly AS patients, ABV should be used only in those with 
      high surgical risk as a palliative therapy or a bridge therapy to AVR, and AVR 
      should be primarily recommended under rigid evaluation of the patient's physical 
      status.
FAU - Hashimoto, H
AU  - Hashimoto H
AD  - Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
FAU - Tamura, T
AU  - Tamura T
FAU - Ikari, Y
AU  - Ikari Y
FAU - Hara, K
AU  - Hara K
FAU - Saeki, F
AU  - Saeki F
FAU - Isshiki, T
AU  - Isshiki T
FAU - Yamaguchi, T
AU  - Yamaguchi T
FAU - Wanibuchi, Y
AU  - Wanibuchi Y
FAU - Furuta, S
AU  - Furuta S
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Jpn Circ J
JT  - Japanese circulation journal
JID - 7806868
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve Stenosis/mortality/*surgery
MH  - *Catheterization
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 1996/03/01 00:00
MHDA- 1996/03/01 00:01
CRDT- 1996/03/01 00:00
PHST- 1996/03/01 00:00 [pubmed]
PHST- 1996/03/01 00:01 [medline]
PHST- 1996/03/01 00:00 [entrez]
AID - 10.1253/jcj.60.142 [doi]
PST - ppublish
SO  - Jpn Circ J. 1996 Mar;60(3):142-8. doi: 10.1253/jcj.60.142.