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J. O'Keefe, R. Vlietstra, K. Bailey, D. Holmes (1987)
Natural history of candidates for balloon aortic valvuloplasty.Mayo Clinic proceedings, 62 11
Graham Jackson, S. Thomas, Mark Monaghan, A. Forsyth, D. Jewitt (1987)
Inoperable aortic stenosis in the elderly: benefit from percutaneous transluminal valvuloplasty.British Medical Journal (Clinical research ed.), 294
J. Kan, R. White, S. Mitchell, T. Gardner (1982)
Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary-valve stenosis.The New England journal of medicine, 307 9
N. Smith, J. Mcanulty, S. Rahimtoola (1978)
Severe Aortic Stenosis with Impaired Left Ventricular Function and Clinical Heart Failure: Results of Valve ReplacementCirculation, 58
R. McKay, R. Safian, J. Lock, D. Diver, A. Berman, S. Warren, P. Come, D. Baim, V. Mandell, H. Royal (1987)
Assessment of left ventricular and aortic valve function after aortic balloon valvuloplasty in adult patients with critical aortic stenosis.Circulation, 75 1
R. McKay, R. Safian, J. Lock, V. Mandell, R. Thurer, S. Schnitt, W. Grossman (1986)
Balloon dilatation of calcific aortic stenosis in elderly patients: postmortem, intraoperative, and percutaneous valvuloplasty studies.Circulation, 74 1
Gorlin Gorlin, Gorlin Gorlin (1951)
Hydraulic formula for calculation of area of stenotic mitral valve, other valves, and central circulatory shuntsAm Heart J, 41
A. Cribier, T. Savin, J. Berland, P. Rocha, R. Mechmeche, NADlR SAOUDl, P. Behar, B. Letac (1987)
Percutaneous transluminal balloon valvuloplasty of adult aortic stenosis: report of 92 cases.Journal of the American College of Cardiology, 9 2
Cribier Cribier, Berland Berland, Koning Koning (1987)
Feasibility and safety of balloon aortic valvuloplasty in patients under 70 years of ageCirculation (abstr), 76
J. Turina, O. Hess, F. Sepulcri, H. Krayenbuehl (1987)
Spontaneous course of aortic valve disease.European heart journal, 8 5
C. Pepine, C. Pepine, Ira Gessner, Ira Gessner, Robert Feldman, Robert Feldman (1982)
Percutaneous balloon valvuloplasty for pulmonic valve stenosis in the adult.The American journal of cardiology, 50 6
Davidson Davidson, Sketton Sketton, Kisslo Kisslo (1987)
A comprehensive evaluation of the risk of systemic enbolization after percutaneous balloon valvuloplasty. (abstr)Circulation, 76
K. Inoue, T. Owaki, T. Nakamura, F. Kitamura, N. Miyamoto (1984)
Clinical application of transvenous mitral commissurotomy by a new balloon catheter.The Journal of thoracic and cardiovascular surgery, 87 3
W. Roberts (1987)
Good-bye to thoracotomy for cardiac valvulotomy.The American journal of cardiology, 59 1
B. Carabello (1987)
Advances in the hemodynamic assessment of stenotic cardiac valves.Journal of the American College of Cardiology, 10 4
Z. Lababidi, Jiunn-Ren Wu, J. Walls (1984)
Percutaneous balloon aortic valvuloplasty: results in 23 patients.The American journal of cardiology, 53 1
G. Drobinski, P. Lechat, J. Metzger, C. Lepailleur, A. Vacheron, Y. Grosgogeat (1987)
Results of percutaneous catheter valvuloplasty for calcified aortic stenosis in the elderly.European heart journal, 8 4
J. Ubago, A. Figueroa, T. Colman, A. Ochoteco, C. Duran (1980)
Hemodynamic Factors That Affect Calculated Orifice Areas in the Mitral Hancock Xenograft ValveCirculation, 61
R. Bache, Yang Wang, C. Jorgensen (1971)
Hemodynamic Effects of Exercise in Isolated Valvular Aortic StenosisCirculation, 44
B. Carabello, L. Green, W. Grossman, L. Cohn, J. Koster, J. Collins (1980)
Hemodynamic Determinants of Prognosis of Aortic Valve Replacement in Critical Aortic Stenosis and Advanced Congestive Heart FailureCirculation, 62
Nicholas Lembo, S. King, G. Roubin, Amir Hammami, Alan Niederman (1987)
Fatal aortic rupture during percutaneous balloon valvuloplasty for valvular aortic stenosis.The American journal of cardiology, 60 8
R. Gorlin, S. Gorlin (1951)
Hydraulic formula for calculation of the area of the stenotic mitral valve, other cardiac valves, and central circulatory shunts. I.American heart journal, 41 1
M. Thubrikar, R. Harry, S. Nolan (1977)
Normal aortic valve function in dogs.The American journal of cardiology, 40 4
R. Gorlin (1987)
Calculations of cardiac valve stenosis: restoring an old concept for advanced applications.Journal of the American College of Cardiology, 10 4
A. Hakki, A. Iskandrian, C. Bemis, D. Kimbiris, G. Mintz, B. Segal, C. Brice (1981)
A Simplified Valve Formula for the Calculation of Stenotic Cardiac Valve AreasCirculation, 63
J. Isner, D. Salem, M. Desnoyers, T. Hougen, W. Mackey, N. Pandian, Eric Eichhorn, M. Konstam, H. Levine (1987)
Treatment of calcific aortic stenosis by balloon valvuloplasty.The American journal of cardiology, 59 4
Cannon Cannon, Richards Richards, Crawford Crawford (1985)
Hydraulic estimation of stenotic orifice area: A correction of the Gorlin formulaCirculation, 71
A. Cribier, N. Saoudi, J. Berland, T. Savin, P. Rocha, B. Letac (1986)
PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY OF ACQUIRED AORTIC STENOSIS IN ELDERLY PATIENTS: AN ALTERNATIVE TO VALVE REPLACEMENT?The Lancet, 327
Joseph Walls, Z. Lababidi, Jack Curtis, Donald Silver (1984)
Assessment of percutaneous balloon pulmonary and aortic valvuloplasty.The Journal of thoracic and cardiovascular surgery, 88 3
J. Lock, M. Khalilullah, S. Shrivastava, V. Bahl, J. Keane (1985)
Percutaneous catheter commissurotomy in rheumatic mitral stenosis.The New England journal of medicine, 313 24
Since the first case performed by us in September 1985, percutaneous transluminal aortic valvuloplasty (PTAV) has been applied in Rouen in a broad clinical spectrum of patients with aortic stenosis. After our encouraging initial experience, there have been changes in our objectives and technique which have allowed us to proceed more quickly, with less discomfort to the patient, lower risk, and improved results. The development of a new device, a triple lumen‐double size balloon catheter has been a major advance as well as the use of extra‐stiff guidewires and arterial sheaths. Our series has grown to more than 300 patients, mostly elderly (mean age 73 ± 11, 25% at or above 80) and very ill (71% in NYHA functional class HI or IV). Indication for PTA V was either absolute contraindication to valve replacement (30%), increased surgical risk (31%), refusal of surgery (10%), or attempt to postpone surgery (29%). The largest balloon size used has been 20 mm or above (23 mm or even 25 mm) in 70% of the cases. The double‐balloon technique has been used in only 5% of the cases. In our series, PTAV resulted in a decrease in transvalvular peak gradient from 71 ± 26 mm Hg to 28 ± 13 mm Hg and an increase in aortic valve area from 0.54 ± 0.18 cm2 to 0.96 ± 0.33 cm2. With gained experience and the use of larger balloon sizes, the results have clearly improved: in the last 100 patients a valve area to or above 1 an2 has been obtained in 55% compared to 30% of the cases in our early experience. Patients less than 70 years old had the best results but the aortic stenosis was less severe before PTAV. The total procedural and post‐PTA V mortality was 4% and involved primarily very old patients. The nonfatal complication rate remained low. Clinical information for 204 patients followed for 12 ± 5 months has been obtained and repeat catheterization has been done in 56 patients at an average of 4.5 months after PTA V. The data confirms that PTA V is feasible and can be accomplished with a relatively low risk in an elderly and ill population and in patients with contraindication to valve replacement or very high surgical risk. The procedure alters the natural history of the disease in these patients, improving both symptoms and survival. Indications in other categories of patients deserve further studies.
Journal of Interventional Cardiology – Wiley
Published: Dec 1, 1988
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