November 1, 2008
View Full PaperPercutaneous treatment of aortic valve stenosis
Key Result
Percutaneous aortic valve replacement is emerging as a promising therapeutic option for patients with severe symptomatic aortic valve stenosis who are not candidates for open heart surgery.
Structured PICO
Does percutaneous aortic valve replacement provide a viable therapeutic option for patients with severe symptomatic aortic valve stenosis who are not candidates for open heart surgery?
P
Population
Patients with severe symptomatic aortic valve stenosis who are not candidates for open heart surgery
I
Intervention
Percutaneous approaches to implantation of prosthetic aortic valves (percutaneous aortic valve replacement)
C
Comparator
Medical management or balloon valvuloplasty
Percutaneous aortic valve replacement is emerging as a promising therapeutic option for patients with severe symptomatic aortic valve stenosis who are ineligible for open heart surgery.
Abstract
Aortic valve replacement via open heart surgery, although still the standard treatment for severe symptomatic aortic valve stenosis, is not an option for many patients with severe symptoms, and these patients are often left with suboptimal strategies such as medical management or balloon valvuloplasty. But over the last 5 years improvements in percutaneous approaches to implantation of prosthetic aortic valves have made it a potential therapeutic option for these patients. Technical and device issues are being refined, and percutaneous aortic valve replacement is showing promise in ongoing clinical trials.