Hoedemaker G, van den Brink R B, Verheul J A, Visser C A, Dunning A J
Academisch Medisch Centrum, afd. Cardiologie, Amsterdam.
Ned Tijdschr Geneeskd. 1990 Jan 13;134(2):76-80.
Fifty patients with severe symptomatic aortic stenosis underwent a balloon valvuloplasty of the aortic valve with acceptable initial haemodynamic results. Follow-up at one month showed clinical improvement in 66% of the patients. Long-term follow-up (clinical, Doppler echocardiography and repeat cardiac catheterization) was disappointing. The intervention-free rates at one and two years were 44% and 26%, respectively. Aortic balloon valvuloplasty should be limited to patients with a severe aortic stenosis and short life expectancy because of non-cardiac disease and to patients with severely depressed left ventricular function as a bridge to valve replacement.
50例有严重症状的主动脉瓣狭窄患者接受了主动脉瓣球囊瓣膜成形术，初始血流动力学结果可接受。1个月的随访显示66%的患者临床症状改善。长期随访（临床、多普勒超声心动图和重复心导管检查）结果令人失望。1年和2年的无干预率分别为44%和26%。主动脉球囊瓣膜成形术应仅限于因非心脏疾病预期寿命短的严重主动脉瓣狭窄患者以及左心室功能严重受损作为瓣膜置换过渡的患者。
