Aortic Balloon Valvuloplasty Prior to Orthotopic Liver Transplantation: A Novel Approach to Aortic Stenosis and End-Stage Liver Disease

Table 1

Patient and procedural characteristics before and after valvuloplasty.

	Patient 1		Patient 2		Patient 3		Patient 4
Age, y/sex	58/female		63/male		56/male		58/male
Diagnosis	Primary biliary Cirrhosis		Hemochromatosis		Nonalcoholic steatohepatitis		Hepatitis C
Platelet count	101		101		24		38
MELD score	38		28		16		36
BNP	801		419		33		54
Hemodynamic data	Pre	Post	Pre	Post	Pre	Post	Pre	Post
Gradients, mean (mmHg)	37	28	45	16	35	25	45	25
Aortic valve area (cm^2)^†	0.8	1.0	0.6	1.2	1.0	1.1	0.7	1.1
Ejection fraction	60%	64%	60%	70%	65%	70%	68%	65%
Procedure data
Time to transplant	38 hrs		4 mo		6 hrs		20 hrs
Balloon size	23 mm, CRISTAL				23 mm, CRISTAL		23 mm, Z-MED II
Sheath size	8 French		10 French		10 French		12 French
Sheath removal	Surgical, time of transplant		—		Surgical, 48 hrs after transplant		Time of transplant
Follow-up, mo/outcomes	24 mo, alive, s/p AVR		10 mo, alive		24 mo, alive, s/p AVR		Deceased, perivalvular abscess

Estimated by transthoracic echocardiographic measurement; continuity equation unrecorded.