Journal of Clinical Medicine
Preoperative Ballon Aortic Valvuloplasty vs. Conservative Management in Patients Undergoing Hip Fracture Surgery with Underlying Severe Aortic Stenosis
By Antonio De Vita, Marcello Covino, Francesco Mollo and 13 others.
Abstract
Background
Old adults with hip fracture (HFx) and concomitant severe aortic stenosis (AS) represent a high-risk population in whom urgent orthopedic repair is usually required, while definitive valve replacement is rarely feasible preoperatively. The clinical benefit of balloon aortic valvuloplasty (BAV) as a bridging strategy remains uncertain.
Methods
In this observational study, we included patients admitted to our Emergency Department for HFx who had concomitant severe AS. Management of severe AS consisted of either conservative therapy or preoperative BAV. The early clinical endpoints included 30-day mortality, time to surgery, length of intensive care unit and hospital stay and need for mechanical ventilation. The late clinical endpoint was 180-day all-cause mortality.