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Contemporary balloon aortic valvuloplasty: Changing indications and refined technique.
Dall'Ara, Gianni; Tumscitz, Carlo; Grotti, Simone; Santarelli, Andrea; Balducelli, Marco; Tarantino, Fabio; Saia, Francesco.
Afiliación
  • Dall'Ara G; Cardiology Unit, Morgagni-Pierantoni Hospital, Forlì, Italy.
  • Tumscitz C; Cardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
  • Grotti S; Cardiology Unit, Morgagni-Pierantoni Hospital, Forlì, Italy.
  • Santarelli A; Cardiology Unit, Infermi Hospital, Rimini, Italy.
  • Balducelli M; Cardiology Unit, Santa Maria delle Croci Hospital, Ravenna, Italy.
  • Tarantino F; Cardiology Unit, Morgagni-Pierantoni Hospital, Forlì, Italy.
  • Saia F; Cardiology Unit, Policlinico S.Orsola-Malpighi University Hospital, Bologna, Italy.
Catheter Cardiovasc Interv ; 97(7): E1033-E1042, 2021 06 01.
Article en En | MEDLINE | ID: mdl-32096927
ABSTRACT
Even if un to improve long-term prognosis, balloon aortic valvuloplasty (BAV) may be useful in selected patients with symptomatic severe aortic stenosis either as a bridge to surgical or transcatheter valve replacement (aortic valve replacement [AVR] or transcatheter aortic valve implantation [TAVI]) or as a triage strategy for patients with uncertain indications. International guidelines recommend BAV as a "bridge" to AVR/TAVI, a "trial" in patients with undetermined symptoms, or a "bridge-to-decision" in case of comorbidities. However, in clinical practice, BAV is also used as a palliative measure to improve hemodynamics and quality of life in many patients who are excluded from AVR/TAVI. Finally, BAV is often performed during TAVI to facilitate prosthesis delivery, optimize frame expansion, or for bioprosthetic valve fracture in selected valve-in-valve procedures. Technical innovations, which allow for a mini-invasive approach via transradial access and pacing delivered through the wire, have led to a decrease in complications over time. This review focuses on contemporary BAV with a specific emphasis on new indications, innovative techniques, and specific complex patient subgroups.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Valvuloplastia con Balón / Reemplazo de la Válvula Aórtica Transcatéter Tipo de estudio: Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Asunto de la revista: CARDIOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Valvuloplastia con Balón / Reemplazo de la Válvula Aórtica Transcatéter Tipo de estudio: Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Asunto de la revista: CARDIOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Italia