Why the study?
There are limited data regarding the benefits and drawbacks of balloon aortic valvuloplasty (BAV) during transcatheter aortic valve implantation (TAVI) using self-expanding valves.
Does omitting balloon aortic valvuloplasty (BAV) maintain adequate valve function and reduce complications in patients undergoing TAVI with self-expanding valves for severe aortic stenosis?
Does omitting balloon aortic valvuloplasty (BAV) maintain adequate valve function and reduce complications in patients undergoing TAVI with self-expanding valves for severe aortic stenosis?
Omitting balloon aortic valvuloplasty during TAVI with self-expanding valves is feasible, maintains adequate valve hemodynamics, and may reduce the risk of periprocedural stroke.
May support BAV omission in self-expanding TAVI; hypothesis-generating and leaves open need for randomized confirmation.
Objective: Balloon aortic valvuloplasty (BAV) is frequently performed during transcatheter aortic valve implantation (TAVI). However, there are currently limited data regarding the benefits and drawbacks of BAV with self-expanding valves. This study retrospectively compares valve function with and without BAV during TAVI using self-expanding valves.
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Suzuyama et al. (2025) studied this question.
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