Balloon aortic valvuloplasty as a bridge to aortic valve surgery for severe aortic stenosis
Why the study?
Does balloon aortic valvuloplasty serve as an effective bridge to aortic valve replacement or TAVI in patients with severe aortic stenosis?
Population
Patients with severe symptomatic aortic stenosis (based on 11 papers)
Comparison
Balloon aortic valvuloplasty as a bridge to… vs Balloon aortic valvuloplasty only
Design
Systematic_review
Follow-up
8 weeks to 7 months (time to AVR/TAVI) or up to 2 years
Authors
Discussion
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Member takes
Implication
Variable BAV bridging success warrants selective use in high-risk severe AS; extends timing data but leaves optimal protocols open.
Structured PICO
Does balloon aortic valvuloplasty serve as an effective bridge to aortic valve replacement or TAVI in patients with severe aortic stenosis?
P
Population
Patients with severe symptomatic aortic stenosis (based on 11 papers)
I
Intervention
Balloon aortic valvuloplasty as a bridge to aortic valve replacement (AVR) or transcatheter aortic valve implantation (TAVI)
C
Comparator
Balloon aortic valvuloplasty only (destination therapy)
O
Outcome
Success rates for bridging to definite surgical intervention (AVR or TAVI)
Balloon aortic valvuloplasty is a viable bridging strategy to definitive AVR or TAVI for high-risk patients with severe symptomatic aortic stenosis, with bridging success rates of 26.3-74%.
Cite This Study
Nwaejike et al. (2014) studied this question.