title: Balloon aortic valvuloplasty as a treatment option in the era of transcatheter aortic valve implantation.
abstract: Aortic valve stenosis is the commonest encountered valvular pathology and a frequent cause of morbidity and mortality in cases of severe stenosis. Definitive treatment has traditionally been offered in the form of surgical aortic valve replacement in patients with an acceptable surgical risk and more recently with the less invasive transcatheter aortic valve implantation (TAVI) in those where surgery is not a viable option. Prior to the introduction of TAVI, inoperable patients were treated medically and where appropriate with balloon aortic valvuloplasty, a procedure which although effective only provided short-term relief and was associated with high complication rates especially during its infancy. Here we discuss whether balloon aortic valvuloplasty continues to have a role in contemporary clinical practice in an era where significant advances have been achieved in the fields of surgical aortic valve replacement, TAVI and postoperative care.
authors: Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK.
authors: Charis
authors: C
authors: Costopoulos
authors: Nilesh
authors: N
authors: Sutaria
authors: Ben
authors: B
authors: Ariff
authors: Michael
authors: M
authors: Fertleman
authors: Iqbal
authors: I
authors: Malik
authors: Ghada W
authors: GW
authors: Mikhail
mesh_terms: D001024:Aortic Valve Stenosis / Q000601:surgery*; D063126:Balloon Valvuloplasty / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D011182:Postoperative Care; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
keywords: aortic regurgitation; aortic stenosis; balloon aortic valvuloplasty; surgical aortic valve replacement; transcatheter aortic valve implantation