Are Outcomes of Surgical Versus Transcatheter Balloon Valvotomy Equivalent in Neonatal Critical Aortic Stenosis?
Why the study?
Does transcatheter balloon dilation (BAV) improve survival or reduce reintervention compared to surgical valvotomy (SAV) in neonates with critical aortic valve stenosis?
Population
110 neonates with critical aortic valve stenosis selected for biventricular repair
Comparison
Transcatheter balloon dilation (BAV) (n=82) vs Surgical valvotomy (SAV) (n=28)
Design
Cohort
Follow-up
up to 5 years
Authors
Discussion
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Member takes
Implication
Similar survival after SAV or BAV in neonatal critical AS; leaves open optimal strategy pending randomized trials.
Structured PICO
Does transcatheter balloon dilation (BAV) improve survival or reduce reintervention compared to surgical valvotomy (SAV) in neonates with critical aortic valve stenosis?
P
Population
110 neonates with critical aortic valve stenosis selected for biventricular repair
I
Intervention
Transcatheter balloon dilation (BAV) (n=82)
C
Comparator
Surgical valvotomy (SAV) (n=28)
O
Outcome
Time-related survival after valvotomyhard clinical
Surgical and transcatheter balloon valvotomy for neonatal critical aortic stenosis have similar survival and reintervention outcomes, though BAV has a higher risk of aortic regurgitation and SAV has a higher risk of residual stenosis.
Cite This Study
McCrindle et al. (2001) studied this question.