title: Emerging practice patterns and outcomes of percutaneous aortic balloon valvuloplasty in patients with severe aortic stenosis.
abstract: A total of 33 patients with severe aortic stenosis undergoing percutaneous aortic balloon valvuloplasty (PABV) for bridging or palliative therapy were reviewed; the emerging treatment patterns for this procedure are described. Longitudinal data suggest that PABV provides a significant reduction in peak and mean aortic valve gradients with > 12-month survival for more than half of observed patients. This supports the current application of PABV, which is currently limited to palliative care and bridging therapy to more definitive forms of future treatment, including transcatheter aortic valve implantation.
authors.affiliation: Providence Heart Institute, Providence Hospital and Medical Center, Southfield, MI, USA.
authors.forename: Rony D
authors.initials: RD
authors.lastname: Gorges
authors.forename: Peter
authors.initials: P
authors.lastname: Burke
authors.forename: Wadie
authors.initials: W
authors.lastname: David
authors.forename: Adam
authors.initials: A
authors.lastname: Cole
authors.forename: Peter A
authors.initials: PA
authors.lastname: McCullough
authors.forename: Shukri W
authors.initials: SW
authors.lastname: David
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects / Q000401:mortality / Q000639:trends*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010166:Palliative Care; D010818:Practice Patterns, Physicians' / Q000639:trends*; D012237:Rhode Island; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography