Percutaneous balloon valvuloplasty

Kan JS, White Rl Jr, Mitchell SE, et al. Percutaneous balloon valvuloplasty a new method for treating congenital pulmonary-valve stenosis. N Engl J Med 1982 307(9) 540-542. 

Against this backdrop, research into less invasive approaches to treat valvular disease has been intensified. In the surgical realm, minimally invasive techniques, with its attendant patient and procedural related limitations, have been tried with some success but traditional valvular operations still remain the norm. At the same time, great strides have been made in percutaneous approaches to treatment of valvular disease. Two valvular disease states in which percutaneous balloon valvuloplasty have had great success are in the treatment of pulmonic stenosis and mitral stenosis. 

The first use of percutaneous balloon valvuloplasty was described in 1982 for patients with pulmonic stenosis (3). By the late 1980s, this treatment modality... 

Chen CR, Cheng TO, Huang T, et al. Percutaneous balloon valvuloplasty for pulmonic stenosis in adolescents and adults. N Eng J Med 1996 335 21-5. 

Reyes VP, Raju BS, Wynne J, et al. Percutaneous balloon valvuloplasty compared with open surgical commissurotomy for mitral stenosis. NEJM 1994 331 961-7. 

Lababidi Z, Wu JR, Walls JT Percutaneous balloon aortic valvuloplasty results in 23 patients. Am J Cardiol 1984 53( I) 194-197. 

The prototypic percutaneous aortic valve was implanted in a 57-year-old male with calcified critical aortic stenosis who failed previous balloon valvuloplasty and was in cardiogenic shock as well as leg ischemia at the time of procedure. Following the procedure, the aortic pressure rose from a 70 mmHg systolic to 120 mm Hg with the aortic valve gradient decreased from 30 to 6 mm Hg. The calculated valve... 

Palacios IF, Sanchez PL, Harrell LC, et al. Which patients benefit from percutaneous mitral balloon valvuloplasty. Circulation 2002 105 1465-71. 

American Heart Assn. Percutaneous balloon aortic valvuloplasty. Acute and 30-day follow-up results in 674 patients from the NHLBI Balloon Valvuloplasty Registry. Circulation 1991 Dec 84(6) 2383-97. 

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