Ballon aortic valvuloplasty: an obsolete method in intervention cardiology that still extends life

    Authors

    Keywords

    ballon aortic valvuloplasty, aortic vale

    DOI

    https://doi.org/10.15836/ccar2018.59

    Full Text

    Ballon aortic valvuloplasty (BAV) was introduced more than three decades as an alternative to replacement of aortic valve in older patients who are considered unsuitable for surgery. (1) Because of the high rate of early restenosis and without affecting long-term survival, the development of the procedure has stopped. However, with recent technological advances, especially with the appearance of a TAVI, there was a revival of this technique. Balloon aortic valvuloplasty is a percutaneous therapeutic option for patients with severe aortic stenosis but the effectiveness of this procedure depends on the morphology of the stenotic aortic valve and the respective dilation mechanism. In younger patients with congenital aortic stenosis, there are good acute and mid-term results. In this paper, we describe and present the preoperative course, the performance of balloon aortic valvuloplasty and postprocedural process. BAV allows patients with severe aortic stenosis to safely survive to surgery, to TAVI or to relieve symptoms by conservative therapy.

    Literature

    1. Kern MJ. The Interventional Cardiac Catheterization 2th ed. St. Louis: Mosby; 2004.
    Cardiologia Croatica
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    Ballon aortic valvuloplasty: an obsolete method in intervention cardiology that still extends life

    Extended Abstract
    Issue1-2
    Published
    Pages59
    PDF via DOIhttps://doi.org/10.15836/ccar2018.59
    ballon aortic valvuloplasty
    aortic vale

    Authors

    Marina Pavletić*University Hospital Centre Zagreb, Zagreb, Croatia
    Siniša BlažonUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Ivana BarunUniversity Hospital Centre Zagreb, Zagreb, Croatia

    *Correspondence email: marinapavletic@gmail.com

    Full Text

    Ballon aortic valvuloplasty (BAV) was introduced more than three decades as an alternative to replacement of aortic valve in older patients who are considered unsuitable for surgery. (1) Because of the high rate of early restenosis and without affecting long-term survival, the development of the procedure has stopped. However, with recent technological advances, especially with the appearance of a TAVI, there was a revival of this technique. Balloon aortic valvuloplasty is a percutaneous therapeutic option for patients with severe aortic stenosis but the effectiveness of this procedure depends on the morphology of the stenotic aortic valve and the respective dilation mechanism. In younger patients with congenital aortic stenosis, there are good acute and mid-term results.

    In this paper, we describe and present the preoperative course, the performance of balloon aortic valvuloplasty and postprocedural process. BAV allows patients with severe aortic stenosis to safely survive to surgery, to TAVI or to relieve symptoms by conservative therapy.

    Literature

    1. 1.
      Kern MJ. The Interventional Cardiac Catheterization 2th ed. St. Louis: Mosby; 2004.