{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:04:20Z","timestamp":1761807860121,"version":"3.28.0"},"reference-count":13,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>This study evaluated preoperative balloon aortic valvuloplasty (BAV) as a technique to decrease aortic valve replacement (AVR) risk in patients who have severe symptomatic aortic valve stenosis with substantial comorbidity.<\/jats:p>\n        <jats:p>We report the outcomes of 18 high-risk patients who received BAV within 180 days before AVR from November 1993 through December 2011. Their median age was 78 years (range, 51\u201393 yr), and there were 11 men (61%). The pre-BAV median calculated Society of Thoracic Surgeons Predicted Risk of Mortality (STS PROM) was 18.3% (range, 9.4%\u201350.7%). Preoperative left ventricular ejection fraction measured a median of 0.23 (range, 0.05\u20130.68), and the median aortic valve area index was 0.4 cm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup> (range, 0.2\u20130.7 cm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>). The median interval from BAV to AVR was 28 days (range, 1\u2013155 d). There were no strokes or deaths after BAV; however, 4 patients (22%) required mechanical circulatory support, 3 (17%) required femoral artery operation, and 1 (6%) developed severe aortic valve regurgitation. After BAV, the median STS PROM fell to 9.1% (range, 2.6%\u201325.7%) (compared with pre-BAV, P &lt;0.001). Echocardiography before AVR showed that the median left ventricular ejection fraction had improved to 0.35 (range, 0.15\u20130.66), and the aortic valve area index to 0.5 cm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup> (range, 0.3\u20130.7 cm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>) (compared with pre-BAV, both P &lt;0.05). All patients received AVR. Operative death occurred in 2 patients (11%), and combined operative death and morbidity in 7 patients (39%).<\/jats:p>\n        <jats:p>Staged BAV substantially reduces the operative risk associated with AVR in selected patients.<\/jats:p>","DOI":"10.14503\/thij-13-3298","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T16:43:24Z","timestamp":1396370604000},"page":"152-158","source":"Crossref","is-referenced-by-count":3,"title":["Staged Balloon Aortic Valvuloplasty before Standard Aortic Valve Replacement in Selected Patients with Severe Aortic Valve Stenosis"],"prefix":"10.14503","volume":"41","author":[{"given":"Salah Eldien","family":"Altarabsheh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin L.","family":"Greason","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartzell V.","family":"Schaff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh M.","family":"Suri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuo","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verghese","family":"Mathew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyle D.","family":"Joyce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soon J.","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph A.","family":"Dearani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"4","key":"i0730-2347-41-2-152-b1","series-title":"Eur J Cardiothorac Surg","first-page":"394","article-title":"Aortic valve replacement after percutaneous valvuloplasty--an approach in otherwise inoperable patients","volume":"38","year":"2010","unstructured":"Doguet\n              F\n            , GodinM, LebretonG, EltchaninoffH, CribierA, BessouJP, LitzlerPY.\n          Aortic valve replacement after percutaneous valvuloplasty--an approach in otherwise inoperable patients. Eur J Cardiothorac Surg2010;38(4):394\u20139."},{"issue":"2","key":"i0730-2347-41-2-152-b2","series-title":"Catheter Cardiovasc Interv","first-page":"358","article-title":"Balloon aortic valvuloplasty to bridge and triage patients in the era of transcatheter aortic valve implantation","volume":"81","year":"2013","unstructured":"Malkin\n              CJ\n            , JuddJ, ChewDP, SinhalA.\n          Balloon aortic valvuloplasty to bridge and triage patients in the era of transcatheter aortic valve implantation. Catheter Cardiovasc Interv2013;81(2):358\u201363."},{"issue":"1","key":"i0730-2347-41-2-152-b3","series-title":"J Thorac Cardiovasc Surg","first-page":"180","article-title":"Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement","volume":"135","year":"2008","unstructured":"Dewey\n              TM\n            , BrownD, RyanWH, HerbertMA, PrinceSL, MackMJ.\n          Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement. J Thorac Cardiovasc Surg2008;135(1):180\u20137."},{"issue":"2","key":"i0730-2347-41-2-152-b4","series-title":"Ann Thorac Surg","first-page":"535","article-title":"Comparison of risk scores to estimate perioperative mortality in aortic valve replacement surgery","volume":"92","year":"2011","unstructured":"Basraon\n              J\n            , ChandrashekharYS, JohnR, AgnihotriA, KellyR, WardH, AdabagS.\n          Comparison of risk scores to estimate perioperative mortality in aortic valve replacement surgery. Ann Thorac Surg2011;92(2):535\u201340."},{"issue":"23","key":"i0730-2347-41-2-152-b5","series-title":"N Engl J Med","first-page":"2187","article-title":"Transcatheter versus surgical aortic-valve replacement in high-risk patients","volume":"364","year":"2011","unstructured":"Smith\n              CR\n            , LeonMB, MackMJ, MillerDC, MosesJW, SvenssonLG, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med2011;364(23):2187\u201398."},{"issue":"17","key":"i0730-2347-41-2-152-b6","series-title":"N Engl J Med","first-page":"1597","article-title":"Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery","volume":"363","year":"2010","unstructured":"Leon\n              MB\n            , SmithCR, MackM, MillerDC, MosesJW, SvenssonLG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med2010;363(17):1597\u2013607."},{"issue":"2","key":"i0730-2347-41-2-152-b7","series-title":"Catheter Cardiovasc Interv","first-page":"366","article-title":"Standalone balloon aortic valvuloplasty: indications and outcomes from the UK in the transcatheter valve era","volume":"81","year":"2013","unstructured":"Khawaja\n              MZ\n            , SohalM, ValliH, DworakowskiR, PettitSJ, RoyD, et al. Standalone balloon aortic valvuloplasty: indications and outcomes from the UK in the transcatheter valve era. Catheter Cardiovasc Interv2013;81(2):366\u201373."},{"issue":"6","key":"i0730-2347-41-2-152-b8","series-title":"EuroIntervention","first-page":"723","article-title":"The role of percutaneous balloon aortic valvuloplasty as a bridge for transcatheter aortic valve implantation","volume":"7","year":"2011","unstructured":"Saia\n              F\n            , MarrozziniC, MorettiC, CiucaC, TaglieriN, BordoniB, et al. The role of percutaneous balloon aortic valvuloplasty as a bridge for transcatheter aortic valve implantation. EuroIntervention2011;7(6):723\u20139."},{"issue":"5","key":"i0730-2347-41-2-152-b9","series-title":"J Interv Cardiol","first-page":"499","article-title":"Lessons learned from balloon aortic valvuloplasty experience from the pre-transcatheter aortic valve implantation era","volume":"23","year":"2010","unstructured":"Kapadia\n              SR\n            , GoelSS, YukselU, AgarwalS, PetterssonG, SvenssonLG, et al. Lessons learned from balloon aortic valvuloplasty experience from the pre-transcatheter aortic valve implantation era. J Interv Cardiol2010;23(5):499\u2013508."},{"issue":"1 Suppl","key":"i0730-2347-41-2-152-b10","series-title":"Ann Thorac Surg","first-page":"S23","article-title":"The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 2--isolated valve surgery","volume":"88","year":"2009","unstructured":"O'Brien\n              SM\n            , ShahianDM, FilardoG, FerrarisVA, HaanCK, RichJB, et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 2--isolated valve surgery. Ann Thorac Surg2009;88(1 Suppl):S23\u201342."},{"issue":"3","key":"i0730-2347-41-2-152-b11","series-title":"Intensive Care Med","first-page":"297","article-title":"Emergency aortic valve replacement for critical aortic stenosis. A lifesaving treatment for patients with cardiogenic shock and multiple organ failure","volume":"23","year":"1997","unstructured":"Christ\n              G\n            , ZehetgruberM, MundiglerG, CoraimF, LauferG, WolnerE, et al. Emergency aortic valve replacement for critical aortic stenosis. A lifesaving treatment for patients with cardiogenic shock and multiple organ failure. Intensive Care Med1997;23(3):297\u2013300."},{"issue":"18","key":"i0730-2347-41-2-152-b12","series-title":"N Engl J Med","first-page":"1696","article-title":"Transcatheter aortic-valve replacement for inoperable severe aortic stenosis [published erratum appears in N Engl J Med 2012;367(9):881]","volume":"366","year":"2012","unstructured":"Makkar\n              RR\n            , FontanaGP, JilaihawiH, KapadiaS, PichardAD, DouglasPS, et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis [published erratum appears in N Engl J Med 2012;367(9):881]. N Engl J Med2012;366(18):1696\u2013704."},{"issue":"18","key":"i0730-2347-41-2-152-b13","series-title":"N Engl J Med","first-page":"1686","article-title":"Two-year outcomes after transcatheter or surgical aortic-valve replacement","volume":"366","year":"2012","unstructured":"Kodali\n              SK\n            , WilliamsMR, SmithCR, SvenssonLG, WebbJG, MakkarRR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med2012;366 (18):1686\u201395."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/2\/article-p152.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/41\/2\/152\/2549373\/thij-13-3298.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/2\/article-p152.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/2\/article-p152.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:31:01Z","timestamp":1730993461000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/2\/article-p152.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":13,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.14503\/thij-13-3298","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}