Document Detail


Aortic balloon valvuloplasty--review and case series.
MedLine Citation:
PMID:  19010083     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aortic balloon valvuloplasty (BAV) was initially devised in the 1980s as an alternative procedure to the surgical treatment of aortic stenosis, with the theory behind it being both minimally invasive as well as having a lower complication rate [Hara H, et al. Percutaneous balloon aortic valvuloplasty revisited: time for a renaissance? Circulation 2007 March;115(12):e334-8]. In practice however, the procedure was found to have a higher complication rate with only a modest haemodynamic improvement compared to the surgical approach. Most important of all it had an unacceptably high restenosis rate as a substitute for surgery [Otto CM, et al. 3-year outcome after balloon aortic balloon valvuloplasty: insights into prognosis of valvular aortic stenosis. Circulation 1994;89:642-50]. As a result, the procedure has fallen out of favour and has been abandoned at many health care facilities [Hara H, et al. Percutaneous balloon aortic valvuloplasty revisited: time for a renaissance? Circulation 2007 March;115(12):e334-8]. This article will review the management of patients with severe aortic stenosis that are unsuitable to undergo surgery.
Authors:
Richard J Jabbour; Ron Dick; Anthony S Walton
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Publication Detail:
Type:  Case Reports; Historical Article; Journal Article; Review     Date:  2008-11-14
Journal Detail:
Title:  Heart, lung & circulation     Volume:  17 Suppl 4     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2008  
Date Detail:
Created Date:  2008-12-02     Completed Date:  2009-03-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  S73-81     Citation Subset:  IM    
Affiliation:
Epworth Hospital, Level 6, 89 Bridge Road, Richmond 3121, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aortic Valve Stenosis / history,  pathology,  physiopathology,  therapy*
Balloon Dilatation / history,  methods*,  trends
Female
Hemodynamics
History, 20th Century
History, 21st Century
Humans
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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