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The Intra-Aortic Balloon Pump
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Bilateral Slender Transradial Aortic Balloon Valvuloplasty
Angelina Vassileva, Orazio Valsecchi, Giulio Guagliumi
1Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127 Bergamo - Italy. alberto.cereda@email.it.
The Journal of Invasive Cardiology
|May 26, 2018
Summary
Percutaneous aortic balloon valvuloplasty served as a successful bridge-to-decision strategy for an elderly patient with severe comorbidities. This intervention allowed for a safe discharge and referral for potential Transcatheter Aortic Valve Replacement (TAVR).
Area of Science:
- Cardiology
- Interventional Cardiology
- Geriatric Medicine
Background:
- Severe aortic stenosis poses significant risks for elderly patients with multiple comorbidities.
- Treatment decisions for high-risk patients require careful consideration of procedural safety and efficacy.
- Percutaneous aortic balloon valvuloplasty (PABV) offers a potential palliative or bridge strategy.
Observation:
- An 89-year-old female patient presented with severe aortic stenosis and significant comorbidities, including cachexia.
- The patient underwent percutaneous aortic balloon valvuloplasty as a bridge-to-decision intervention.
- The procedure was well-tolerated, with no immediate complications observed.
Findings:
- The patient demonstrated clinical improvement following the valvuloplasty procedure.
- She was discharged home after two weeks of recovery.
- The patient was subsequently referred for consideration of Transcatheter Aortic Valve Replacement (TAVR).
Implications:
- Percutaneous aortic balloon valvuloplasty can be a viable bridge strategy in select high-risk elderly patients.
- This approach facilitates further decision-making regarding definitive treatment, such as TAVR.
- Successful PABV may improve patient stability for subsequent interventions.
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