What does this research mean for the field?

Percutaneous balloon dilatation for calcific aortic valve stenosis causes minimal anatomical change and yields only transient haemodynamic benefit, with transvalvular gradients returning to severe levels within eight days. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

February 1, 1988HeartOpen Access

Percutaneous balloon dilatation of calcific aortic valve stenosis: anatomical and haemodynamic evaluation.

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Calcific aortic valve stenosis (n=40). Intervention: Percutaneous balloon dilatation vs. Baseline (pre-dilatation). Primary outcome: Anatomical valvar/annular changes and haemodynamic gradient across the aortic valve.

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Key result

Percutaneous balloon aortic valvuloplasty fails to produce lasting hemodynamic relief for calcific aortic stenosis.

n=40

Why the study?

The anatomical and haemodynamic effects of percutaneous balloon dilatation in elderly patients with calcified aortic stenosis were not fully characterized.

Does percutaneous balloon dilatation improve anatomical and haemodynamic parameters in elderly patients with calcific aortic stenosis?

Comparison

Before and after percutaneous balloon dilatation

Design

Observational cohort study

Authors

PCP CommeauCentre Hospitalier Universitaire de Caen Normandie GGGilles GrollierInserm ELE. LamyCegep de Saint Hyacinthe

Discussion

Member takes

Implication

Balloon dilatation rarely alters calcified aortic valves visibly; leaves open its role in nonsurgical candidates pending prospective data.

Study Design

Type

Observational (n=40)

Structured PICO

Does percutaneous balloon dilatation improve anatomical and haemodynamic parameters in elderly patients with calcific aortic stenosis?

Population

40 elderly patients with calcified aortic stenosis treated by balloon dilatation, evaluated for anatomical changes (n=26) and haemodynamic changes up to 8 days (n=14).

Exposure

Percutaneous balloon dilatation

Outcome

Anatomical changes (valvar and annular) and haemodynamic changes (aortic mean gradient and aortic valve area)surrogate

Percutaneous balloon dilatation for calcific aortic stenosis provides only transient haemodynamic improvement, with gradients returning to severe levels within a week.

Cite This Study

Commeau et al. (1988) conducted an observational in Calcific aortic valve stenosis (n=40). Percutaneous balloon dilatation vs. Baseline (pre-dilatation) was evaluated on Anatomical valvar/annular changes and haemodynamic gradient across the aortic valve. Percutaneous balloon dilatation for calcific aortic stenosis produced no anatomical change in 20 of 26 patients, and while initial haemodynamics improved, gradients returned to severe levels by 8 days.

synapsesocial.com/papers/6ab23d6842093b211f07db2c https://doi.org/10.1136/hrt.59.2.227

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Implication

Balloon dilatation rarely alters calcified aortic valves visibly; leaves open its role in nonsurgical candidates pending prospective data.

Percutaneous balloon dilatation of calcific aortic valve stenosis: anatomical and haemodynamic evaluation.

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Percutaneous balloon dilatation of calcific aortic valve stenosis: anatomical and haemodynamic evaluation.

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider