| Title: | Balloon aortic valvuloplasty (BAV) as a bridge to aortic valve replacement in cancer patients who require urgent non-cardiac surgery |
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| Authors: | ID Kogoj, Polonca (Author)
ID Devjak, Rok (Author)
ID Bunc, Matjaž (Author) |
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| Files: |  URL - Source URL, visit http://www.degruyter.com/view/j/raon.2014.48.issue-1/raon-2013-0078/raon-2013-0078.xml
 PDF - Presentation file, download (390,58 KB)
MD5: 9F15A34513061B757483EB2864D8A5DB
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  OI - Institute of Oncology
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| Abstract: | Balloon aortic valvuloplasty (BAV) is a percutaneous treatment option for severe, symptomatic aortic stenosis. Due to early restenosis and failure to improve long term survival, BAV is considered a palliative measure in patients who are not suitable for open heart surgery due to increased perioperative risk. BAV can be used also as a bridge to surgical or transcatheter aortic valve implantation (TAVI) in hemodinamically unstable patients or in patients who require urgent major non-cardiac surgery.We reported 6 oncologic patients with severe aortic stenosis that required a major abdominal and gynecological surgery. In 5 cases we performed BAV procedure alone, in one patients with concomitant coronary artery disease we combined BAV and PCI. With angioplasty and BAV we achieved a good coronary artery flow and an increase in aortic valve area without any periprocedural complications. After the successful procedure, we observed a hemodynamic and symptomatic improvement. As a consequence the operative risk for non-cardiac surgery decreased and the surgical treatment was done without complications in all the 6 cases.We conclude that BAV can be utilized as a part of a complex therapy in severe aortic stenosis aimed to improve the quality of life, decrease the surgical risk for major non-cardiac surgery or as a bridge to surgical or transcatheter aortic valve implantation. |
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| Keywords: | aortic valve stenosis, elderly comorbidities, coronary artery disease |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.03.2014 |
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| Publisher: | Association of Radiology and Oncology |
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| Year of publishing: | 2014 |
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| Number of pages: | str. 62-66, V |
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| Numbering: | Vol. 48, no. 1 |
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| Source: | Ljubljana |
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| PID: | 20.500.12556/DiRROS-18692  |
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| UDC: | 616.1 |
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| ISSN on article: | 1318-2099 |
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| DOI: | 10.2478/raon-2013-0078 |
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| COBISS.SI-ID: | 31136729 |
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| Copyright: | by Authors |
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| Publication date in DiRROS: | 16.04.2024 |
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| Views: | 464 |
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| Downloads: | 223 |
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