Balloon rupture during aortic valvuloplasty with compliant balloon: predictors and outcomes

Objectives of the study were the prevalence and clinical consequences of balloon rupture with compliant balloons in balloon aortic valvuloplasty (BAV). Compliant low-profile balloons have been developed to reduce access site complications. Made by thinner materials, these balloons are more prone to...

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Bibliographic Details
Published in:Cardiovascular intervention and therapeutics 2020-07, Vol.35 (3), p.291-299
Main Authors: Seropian, Ignacio M., Romeo, Francisco J., Falconi, Mariano, Agatiello, Carla R., Berrocal, Daniel H.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve - diagnostic imaging
Aortic Valve - pathology
Aortic Valve - surgery
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Balloon Valvuloplasty - adverse effects
Cardiac Catheters - adverse effects
Cardiac Surgical Procedures - adverse effects
Cardiology
Echocardiography - methods
Female
Follow-Up Studies
Humans
Interventional Radiology
Male
Medicine
Medicine & Public Health
Original Article
Retrospective Studies
Risk Factors
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Objectives of the study were the prevalence and clinical consequences of balloon rupture with compliant balloons in balloon aortic valvuloplasty (BAV). Compliant low-profile balloons have been developed to reduce access site complications. Made by thinner materials, these balloons are more prone to rupture. This is a single-center retrospective analysis (2016–2018) of patients undergoing BAV with compliant balloons. Baseline echocardiography and computed tomography (CT) were analyzed. Best cutoff point for calcium score was assessed. Long-term mortality was analyzed with Kaplan–Maier. In vitro test was performed. Rupture occurred in 30/90 (33%) of BAVs independent of risk factors, surgical risk and frailty scores. Patients experiencing rupture had increased mean gradient [53.5 (44–64) vs 44 (35–49) mmHg, p  
ISSN:1868-4300
1868-4297
DOI:10.1007/s12928-019-00623-8