{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:02:36Z","timestamp":1780524156679,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T00:00:00Z","timestamp":1494288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There has been a revival of balloon aortic valvuloplasty (BAV) for severe aortic stenosis, as a result of an increasing number of patients undergoing trans\u2010catheter aortic valve implantation (TAVI). However, there has not been universal adoption of BAV as a standalone, nor bridging therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of the practice at our institution between June 2009 and May 2016 was performed. Demographic, clinical, procedural, and follow\u2010up data on all patients were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 200 patients with a median age of 82 years and severe symptomatic aortic stenosis underwent BAV from June 2009 to May 2016. All patients had appreciable comorbidity with a mean logistic Euro SCORE of 48\u2009\u00b1\u200911 and mean standard Euro SCORE 15\u2009\u00b1\u20094. BAV was performed for palliation in 118 (59%), as a bridging therapy for TAVI in 55 (27.5%) and bridging to surgical AVR in 27 patients (13.5%), respectively. Major complications occurred in 14 patients (7%) including 2 in\u2010patient deaths (1%). A statistically significant improvement in symptoms and a decrease in trans\u2010valvular gradient were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BAV is an effective treatment strategy, either as a bridge to definitive therapy or as a palliative procedure, with an acceptable mortality. BAV is associated with a significant improvement in symptoms and is valuable as a palliative treatment in high\u2010risk patients, where no other invasive option is available.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joic.12384","type":"journal-article","created":{"date-parts":[[2017,5,10]],"date-time":"2017-05-10T02:56:38Z","timestamp":1494384998000},"page":"212-216","source":"Crossref","is-referenced-by-count":9,"title":["Balloon aortic valvuloplasty in contemporary practice"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6026-1999","authenticated-orcid":false,"given":"Kully","family":"Sandhu","sequence":"first","affiliation":[{"name":"Royal Stoke University Hospital University Hospital of North Midlands Stoke on Trent Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Krishnamoorthy","sequence":"additional","affiliation":[{"name":"University Hospitals of Coventry and Warwick Coventry United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashari","family":"Afif","sequence":"additional","affiliation":[{"name":"Royal Stoke University Hospital University Hospital of North Midlands Stoke on Trent Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Nolan","sequence":"additional","affiliation":[{"name":"Royal Stoke University Hospital University Hospital of North Midlands Stoke on Trent Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark G.","family":"Gunning","sequence":"additional","affiliation":[{"name":"Royal Stoke University Hospital University Hospital of North Midlands Stoke on Trent Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90873-8"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.84.6.2383"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90726-P"},{"key":"e_1_2_6_5_1","first-page":"167","article-title":"(Guidelines on the management of valvular heart disease [version 2012]. 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