Doctor insights on:
What Is The Risk For Stroke With Balloon Valvuloplasty On An Aorta
It depends: It really depends on a couple of things. Patient age is a factor. Degree of calcification of the valve is a factor as well as coronary disease. Serious complications can be as high as 15% with 7% vascular complications (access site). The procedure is best done as a bridge to either a surgical valve replacement or more recently, tavr (a way of inserting a new valve using a catheter. ...Read more
What does balloon valvuloplasty help with? What is some of the issues that may indicate that this procedure might help the patient.
Mainly structure : in a valve which doesn't open completely, the leaflets may be restricted due to fibrous adhesions or calcification. Valvuloplasty, a ballon is put into the opening, and expanded to "crack" the adhesions and allow more opening of the valve. It can be complicated by valve injury (leading to a leaking valve or regurgitate flow. Also particles could break off causing problems downstream ...Read more
What issues (problems) can a heart person have. That would indicate that balloon valvuloplasty might be the right decision (Choice) to make.
Risk factors: Balloon valvuloplasty is usually a temporary measure for patients that may be too high risk for surgery or have some temporary problem that precludes surgery at that time. It may also be done to see if it helps symptoms improve. In general though it's effects are usually only temporary, not generally long lasting or a definitive solution. ...Read more
Intra-aortic pump: during diastole ( when the heart relaxes), the pump is inflated forcing blood to the coronary arteries, and during systole ( when the heart contract), the balloon pump deflates allowing blood to past through the aorta, the pump is used to facilitate myocardium ( heart muscle) oxygenation after severe myocardial infarction ( heart attack) ...Read more
Chest CT scan shows calcification of the aortic arch: would this or could this be the cause of tia's ? I had 3 mini strokes pretty close together.
No: This is a temporizing measure for those too sick to undergo definitive treatment. In patients who can tolerate definitive therapy, it is unwise. It would be foolish to choose it. While some may be seduced by its less invasive nature, it is no match for the results archived by surgical treatment. Hope this helps. ...Read moreSee 2 more doctor answers
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