Abstract
Today, the safety of percutaneous balloon aortic valvuloplasty (BAV) is good with improved technical evolutions and operators’ experiences due to current diffusion of transcatheter aortic valve implantation (TAVI). Although, this technique offers good immediate hemodynamic efficacy at an acceptable risk of major complications, the medium prognosis remains poor in the absence of definitive therapy. However, in high-risk patients with temporary contraindications to TAVI, BAV can be used as a bridge with the hope that the patient will improve sufficiently to become suitable for intervention.
In this setting, the effect of gender may be relevant to understand timing and opportunity of percutaneous intervention. It has been demonstrated that elderly women with aortic stenosis (AS) have smaller body size and consequently smaller aortic annulus and reduced iliofemoral diameters compared to men, resulting in a higher risk of major complications after BAV. In the future, it seems mandatory to collect more prospective data to accurately evaluate risk and strategy for patients with severe AS according to sex.
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Giannini, C. (2017). Aortic Valve Valvuloplasty. In: Presbitero, P., Mehilli, J., Petronio, A. (eds) Percutaneous Treatment of Cardiovascular Diseases in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-39611-8_7
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DOI: https://doi.org/10.1007/978-3-319-39611-8_7
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