Conradi Lenard, Reichenspurner Hermann
Clin Res Cardiol. 2008 May;97(5):285-7. doi: 10.1007/s00392-008-0651-z.
The article by Sack and co-workers published in this issue presents the results of a retrospective study on the treatment of severe calcified aortic stenosis (AS) by means of balloon aortic valvuloplasty (BAV) in the elderly patient. While arguing that BAV should be used in patients unfit for surgical aortic valve replacement (AVR) due to relative contraindications their results reveal widely unfavourable outcomes particularly with regard to survival and mortality rates. In contrast, surgical AVR yields excellent results in the mid- and long-term follow-up even in a high-risk patient population. In the rare case of real contraindications to surgical AVR transcatheter valve implantation techniques seem to be the more adequate alternative today.
萨克及其同事在本期发表的文章介绍了一项针对老年患者采用球囊主动脉瓣成形术（BAV）治疗重度钙化性主动脉瓣狭窄（AS）的回顾性研究结果。尽管他们认为由于存在相对禁忌症，BAV应用于不适合进行外科主动脉瓣置换术（AVR）的患者，但其结果显示出非常不利的结局，尤其是在生存率和死亡率方面。相比之下，即使在高危患者群体中，外科AVR在中长期随访中也能产生优异的结果。在极少数真正存在外科AVR禁忌症的情况下，经导管瓣膜植入技术如今似乎是更合适的选择。
