Percutaneous aortic valve replacement: new hope for inoperable and high-risk patients

Aortic stenosis is the most common valvular heart disease in the Western world and its prevalence is increasing with an aging population. Although medical therapy has little to offer in terms of prognosis or symptomatic relief, at least one-third of patients with severe aortic stenosis are denied va...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2007-11, Vol.19 (11), p.478-483
Main Authors: Routledge, Helen C, Lefevre, Thierry, Morice, Marie-Claude, De Marco, Federico, Salmi, Lynda, Cormier, Bertrand
Format: Article
Language:English
Subjects:
Aortic Valve - surgery
Aortic Valve Insufficiency - epidemiology
Aortic Valve Insufficiency - surgery
Cardiac Catheterization - instrumentation
Cardiac Catheterization - methods
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Humans
Prevalence
Risk Factors
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Summary:Aortic stenosis is the most common valvular heart disease in the Western world and its prevalence is increasing with an aging population. Although medical therapy has little to offer in terms of prognosis or symptomatic relief, at least one-third of patients with severe aortic stenosis are denied valve surgery as a result of age and comorbidities. This review describes the development of the percutaneous aortic valve as an alternative therapy for such patients. The technique, initial results and the current limitations of the procedure are explained alongside the ongoing trials necessary in order that such therapy may eventually be made widely available.
ISSN:1557-2501