What question did this study set out to answer?

To compare the contemporary clinical efficacy, safety, and outcomes of balloon dilatation versus direct surgical valvotomy for congenital valvar aortic stenosis in infants and children.

July 1, 1995Archives of Disease in ChildhoodOpen Access

Contemporary results of balloon valvuloplasty and surgical valvotomy for congenital aortic stenosis.

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Why the study?

Does balloon valvuloplasty compared to surgical valvotomy improve clinical outcomes in infants and children with congenital aortic stenosis?

Population

51 infants and children with valvar aortic stenosis, including 15 neonates.

Comparison

Balloon valvuloplasty (dilatation) vs Direct surgical valvotomy

Design

Cohort

Follow-up

4 months to 5 years

Authors

MGM. A. GatzoulisRoyal Brompton Hospital MRMichael L. RigbyGuy's and St Thomas' NHS Foundation Trust ESE A ShinebourneUniversity of California, San Francisco

Discussion

Member takes

Implication

Balloon valvuloplasty linked to shorter stay without differing mortality or reintervention; leaves open comparative efficacy versus surgery pending randomized data.

Key Points

To compare the contemporary clinical efficacy, safety, and outcomes of balloon dilatation versus direct surgical valvotomy for congenital valvar aortic stenosis in infants and children.
Comparative study evaluating 51 pediatric patients treated between August 1988 and October 1993.
Assessed outcomes in 34 patients undergoing attempted balloon valvuloplasty (Group 1; age 1 day–16 years, 8 neonates) versus 17 undergoing surgical valvotomy (Group 2; 7 neonates).
Monitored acute hemodynamic relief, post-procedural complications, hospital length of stay, and follow-up status spanning four months to five years.
Successful balloon dilation occurred in 97% (33/34) of attempts, reducing mean instantaneous systolic pressure gradient from 82 to 34 mm Hg.
Mortality did not differ significantly between groups, with two neonatal deaths in Group 1 (2/34, 5.9%) and two in Group 2 (2/17, 11.8%), all attributable to small left ventricles.
Groups showed no significant differences in morbidity or 12-month reintervention rates, but hospital stay was significantly shorter after balloon dilation; Group 1 complications included aortic regurgitation (n=1) and femoral artery injury (n=2).

Structured PICO

Does balloon valvuloplasty compared to surgical valvotomy improve clinical outcomes in infants and children with congenital aortic stenosis?

Population

51 infants and children with valvar aortic stenosis, including 15 neonates (n=34 in balloon valvuloplasty group, n=17 in surgical valvotomy group).

Intervention

Balloon valvuloplasty (dilatation)

Comparator

Direct surgical valvotomy

Outcome

Mortality, morbidity, or need for reintervention within 12 monthshard clinical

Balloon valvuloplasty is an effective and safe alternative to surgical valvotomy for congenital aortic stenosis in the pediatric population, offering comparable clinical outcomes with a shorter hospital stay.

Cite This Study

Gatzoulis et al. (1995) studied this question.

synapsesocial.com/papers/6a7da90d33dcb27c99cb5295 https://doi.org/10.1136/adc.73.1.66

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Implication

Balloon valvuloplasty linked to shorter stay without differing mortality or reintervention; leaves open comparative efficacy versus surgery pending randomized data.

Contemporary results of balloon valvuloplasty and surgical valvotomy for congenital aortic stenosis.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Contemporary results of balloon valvuloplasty and surgical valvotomy for congenital aortic stenosis.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

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