Feldman Ted
Evanston Northwestern Healthcare, Cardiac Catheterization Laboratory, Evanston Hospital, Evanston, Illinois 60201, USA.
J Interv Cardiol. 2006 Jun;19(3):276-9. doi: 10.1111/j.1540-8183.2006.00143.x.
Balloon aortic valvuloplasty (BAV) has been a highly successful therapy for children and young adults with aortic valve stenosis, resulting in both symptomatic improvement and durable increases in the aortic valve area. Despite enthusiasm for BAV in older adult patients with aortic valve stenosis in the mid-1980s, the therapy has had disappointing medium- and long-term outcomes. Survival of patients with aortic valve stenosis does not increase with BAV, and restenosis occurs in the vast majority of patients within 6-24 months after therapy. Despite these limitations, most patients are symptomatically improved for a year or more. BAV remains an effective palliative therapy for selected patients.
球囊主动脉瓣成形术（BAV）对于患有主动脉瓣狭窄的儿童和年轻人来说是一种非常成功的治疗方法，可使症状得到改善，主动脉瓣面积持久增加。尽管在20世纪80年代中期，人们对BAV用于老年主动脉瓣狭窄患者充满热情，但该疗法的中长期疗效却令人失望。主动脉瓣狭窄患者接受BAV治疗后生存率并未提高，且绝大多数患者在治疗后6 - 24个月内会出现再狭窄。尽管有这些局限性，但大多数患者的症状仍能改善一年或更长时间。BAV对特定患者仍是一种有效的姑息治疗方法。
