Impact of balloon predilatation in patients with reduced versus preserved ejection fraction during transcatheter aortic valve implantation.

التفاصيل البيبلوغرافية
العنوان:	Impact of balloon predilatation in patients with reduced versus preserved ejection fraction during transcatheter aortic valve implantation.
المؤلفون:	Elnaggar HM; Cardiology Department, Assiut University Heart Hospital, 68797Assiut University, Assiut, Egypt., Schoels W; Cardiology Department, Duisburg Heart Center, Duisburg, Germany., Mahmoud MS; Cardiology Department, Assiut University Heart Hospital, 68797Assiut University, Assiut, Egypt.; Cardiology Department, Duisburg Heart Center, Duisburg, Germany., Kishk YT; Cardiology Department, Assiut University Heart Hospital, 68797Assiut University, Assiut, Egypt., Kullmer M; Cardiology Department, Duisburg Heart Center, Duisburg, Germany., Dia M; Cardiac Surgery Department, Duisburg Heart Center, Duisburg, Germany., Algowhary M; Cardiology Department, Assiut University Heart Hospital, 68797Assiut University, Assiut, Egypt.
المصدر:	Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2022 Nov; Vol. 30 (9), pp. 985-991. Date of Electronic Publication: 2022 Sep 13.
نوع المنشور:	Journal Article; Observational Study
اللغة:	English
بيانات الدورية:	Publisher: Sage Country of Publication: England NLM ID: 9503417 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1816-5370 (Electronic) Linking ISSN: 02184923 NLM ISO Abbreviation: Asian Cardiovasc Thorac Ann Subsets: MEDLINE
أسماء مطبوعة:	Publication: Feb. 2009- : London : Sage Original Publication: Chen Yuan, Republic of Singapore : Asia Pub. EXchange,
مواضيع طبية MeSH:	Aortic Valve Stenosis/diagnostic imaging , Aortic Valve Stenosis/etiology , Aortic Valve Stenosis/surgery , Heart Valve Prosthesis , Transcatheter Aortic Valve Replacement*/adverse effects, Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Female ; Humans ; Male ; Stroke Volume ; Treatment Outcome ; Ventricular Function, Left
مستخلص:	Background: Although there is a trend toward direct transcatheter aortic valve implantation (TAVI), still balloon predilatation is necessary in some cases, especially in patients with severe calcification. However, predilatation including rapid ventricular pacing may have adverse outcomes, especially in patients with reduced ejection factor (EF). Objective: To evaluate the impact of predilatation on in-hospital outcomes in patients with reduced versus preserved EF underwent TAVI. Methods: This was a prospective observational study including 110 patients (72 patients with preserved EF (≥50%) and 38 patients with reduced EF (<50%)) who underwent TAVI. The two groups were compared regarding in-hospital outcomes. Results: Predilatation was done routinely in all 110 patients. The mean age was significantly higher in patients with preserved EF (82.76 ± 5.74 vs. 80.13 ± 6.51 years; p = 0.03). The majority (51.4%) of patients with preserved EF were females but the majority (73.7%) of those with reduced EF were males ( P < 0.001). Predilatation showed no statistical difference regarding in-hospital mortality (2.6% vs. 1.4%; p = 0.29), hemodynamic instability (5.3% vs. 0.0%; p = 0.11), stroke (0% vs. 1.4%; p = 0.67), conduction defects (13.2% vs. 19.4%; p = 0.29), permanent pacemaker implantation (7.9% vs. 5.5%; p = 0.45), paravalvular leakage (5.3% vs. 2.8%; p = 0.42), vascular complications (7.9% vs. 11.1%; p = 0.43), and acute kidney injury (7.9% vs. 7%; p = 0.4) in patients with reduced versus preserved EF, respectively. Conclusion: When balloon predilatation is inevitable during TAVI it is safe in patients with reduced as well as preserved EF with no added risk of hemodynamic instability or other outcomes.
فهرسة مساهمة:	Keywords: Transcatheter aortic valve implantation; balloon predilatation; reduced ejection factor
تواريخ الأحداث:	Date Created: 20220916 Date Completed: 20221019 Latest Revision: 20221019
رمز التحديث:	20240829
DOI:	10.1177/02184923221126086
PMID:	36112800
قاعدة البيانات:	MEDLINE

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تدمد:	1816-5370
DOI:	10.1177/02184923221126086