作者
Roberto J Cubeddu, Hani Jneid, Creighton W Don, Christian F Witzke, Ignacio Cruz‐Gonzalez, Rakesh Gupta, Pablo Rengifo‐Moreno, Andrew O Maree, Ignacio Inglessis, Igor F Palacios
发表日期
2009/8/1
期刊
Catheterization and Cardiovascular Interventions
卷号
74
期号
2
页码范围
225-231
出版商
Wiley Subscription Services, Inc., A Wiley Company
简介
Background
The short‐ and long‐term vascular risks and hemodynamic benefits of antegrade versus retrograde percutaneous aortic balloon valvuloplasty (PAV) have not been clearly established. With the advent of percutaneous aortic valve replacement strategies, more valvuloplasties are being performed. The antegrade approach may reduce vascular complications, particularly in patients with peripheral vascular disease (PVD). Comparing the clinical efficacy and complications of each technique is warranted.
Methods
A cohort of 157 consecutive patients undergoing PAV between 2000 and 2006 were included in the study. Of these, 46 (29%) patients underwent antegrade PAV and 111 (71%) retrograde PAV. Choice of vascular approach (antegrade or retrograde) were determined by operator preference. The rate of death, nonfatal vascular complications, and 2‐year survival was explored.
Results
The …
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RJ Cubeddu, H Jneid, CW Don, CF Witzke… - Catheterization and Cardiovascular Interventions, 2009