Spotlight on Balloon Aortic Valvuloplasty

As transcatheter aortic valve replacement procedures evolve, the importance of predilation, the trade-off with postdilation, and the impact of balloon aortic valvuloplasty (BAV) on complication rates are moving targets. In this month’s issue of the Journal of Invasive Cardiology, Abramowitz et al show that the newest iteration of the Sapien family, the Sapien 3, can be delivered without a preprocedure BAV if desired. This article is accompanied by a commentary by Feldman and Reardon, who offer their insights into whether or not BAV is necessary in this setting.

Abramowitz Y, Jilaihawi H, Chakravarty T, et al. Sapien 3 Transcatheter Aortic Valve Implantation With Moderate or Without Predilation. J Invasive Cardiol. 2016 Oct;28(10):421-426.

Feldman T, Reardon MJ. Balloon Predilation for TAVR: Over-Inflated or Under-Rated? J Invasive Cardiol. 2016 Oct;28(10):427-428.

Recent articles on Balloon Aortic Valvuloplasty

Gao K, Sachdeva R, Goldstein BH, Lang S, Petit CJ. Aortic Valve Morphology Correlates With Left Ventricular Systolic Function and Outcome in Children With Congenital Aortic Stenosis Prior to Balloon Aortic Valvuloplasty. J Invasive Cardiol. 2016 Sep;28(9):381-8.

Koshy TP, Kumbhani DJ. The Balloon Aortic Valvuloplasty Makeover: From “Treatment” Procedure to “Bridge” Procedure. J Invasive Cardiol. 2016 Aug;28(8):349-50.

Kumar A, Paniagua D, Hira RS, Alam M, Denktas AE, Jneid H. Balloon Aortic Valvuloplasty in the Transcatheter Aortic Valve Replacement Era. J Invasive Cardiol. 2016 Aug;28(8):341-8.

Burzotta F, Nerla R, Trani C. Bail-Out Use of Impella CP as a Bridge to TAVI in a Cardiogenic Shock Patient: The “Pump-Rewiring” Technique. J Invasive Cardiol. 2016 Jan;28(1):E1-5.

Shah AP, Retzer EM. Repeated Aortic Balloon Valvuloplasty in Elderly Patients With Aortic Stenosis Who Are Not Candidates for Definitive Treatment. J Invasive Cardiol. 2015 Dec;27(12):E285-6.

Moretti C, Chandran S, Vervueren PL, et al. Outcomes of Patients Undergoing Balloon Aortic Valvuloplasty in the TAVI Era: A Multicenter Registry. J Invasive Cardiol. 2015 Dec;27(12):547-53.

Bordoni B, Moretti C, Marrozzini C, et al. Repeated Aortic Balloon Valvuloplasty in Elderly Patients With Aortic Stenosis Who Are Not Candidates for Definitive Treatment. J Invasive Cardiol. 2015 Dec;27(12):E277-84. Epub 2015 Sep 15.

Sakata Y, Matsubara K, Tamiya S, Hayama Y, Usui K. The Efficacy and Safety of Antegrade Inoue-Balloon Aortic Valvuloplasty to Treat Calcific Critical Aortic Stenosis. J Invasive Cardiol. 2015 Aug;27(8):373-80.

Leclercq F, Delseny D, Nogue E, et al. Decrease of vascular and bleeding complications after balloon aortic valvuloplasty performed without heparin. J Invasive Cardiol. 2014 Oct;26(10):528-33.

Inohara T, Hayashida K, Fukuda K. Double balloon aortic valvuloplasty in TAVI era: insight from intracardiac echocardiography and multidetector computed tomography findings. J Invasive Cardiol. 2014 Jul;26(7):E95-7.

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