The History of Percutaneous Valvuloplasty

  • Alessandro Fontanelli


The cardiointerventional era began in 1953 with the first percutaneous interventional procedure consisting of a wire pulmonary valvuloplasty performed by Rubio-Alvarez. In 1964 Dotter and Judkins performed the dilatation of the peripheral arteries using a coaxial double catheter with an outer diameter of 8 and 12 French respectively, which allowed for a mechanical dilatation of leg arterial stenosis. Nine years later, Porstmann described the first catheter with a latex balloon, but the first modern balloon catheter was reported by Gruentzig in 1976: it was a sausage-shaped polyvinyl chloride balloon at the tip of a double lumen catheter. In one year the indications for percutaneous dilatation were expanded from the iliac to the renal and coronary arteries. For these reasons percutaneous coronary balloon angioplasty can be considered the evolution of the Dotter technique and the Rubio-Alvarez procedures, and the current balloon percutaneous valvuloplasty a further application.


Mitral Valve Aortic Balloon Valvuloplasty Pulmonary Valve Stenosis Double Lumen Catheter Mitral Valvuloplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Rubio-Alvarez V, Limon-Larson R (1954) Treatment of pulmonary valvular stenosis and tricuspid stenosis with a modified cardiac catheter. Program Abstract II Second World Congress on Cardiology, Washington, DC, p 205Google Scholar
  2. 2.
    Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction: description of a new technique and a preliminary report of its application. Circulation 30:654–670PubMedCrossRefGoogle Scholar
  3. 3.
    Wierny L, Plass R, Porstmann W (1974) Long-term results in 100 consecutive patients treated by transluminal angioplasty. Radiology 112(3):543–548PubMedGoogle Scholar
  4. 4.
    Gruentzig AR, Turina MI, Schneider JA (1976) Experimental percutaneous dilatation of coronary artery stenosis (abstract). Circulation 53:11–I81Google Scholar
  5. 5.
    Gruentzig A, Senning A, Siegenthaler W (1979) Nonoperative dilatation of coronary artery stenosis: percutaneous transluminal coronary angioplasty (PTCA). N Engl J Med 301:61–68CrossRefGoogle Scholar
  6. 6.
    Semb BKH, Tijonneland S, Stake G (1979) Balloon valvulotomy of congenital pulmonary valve stenosis with tricuspid valve insufficiency. Cardiovasc Intervent Radiol 2:239–241Google Scholar
  7. 7.
    Kan JS, White RI, Mitchell SE et al (1982) Percutaneous balloon valvuloplasty: a method for treating congenital pulmonary valve stenosis. N Engl J Med 307(9):540–542PubMedCrossRefGoogle Scholar
  8. 8.
    Kan JS, White RI Jr, Mitchell SE et al (1984) Percutaneous transluminal balloon valvuloplasty for pulmonary valve stenosis. Circulation 69(3):554–560PubMedCrossRefGoogle Scholar
  9. 9.
    Pepine CJ, Gessner IH, Feldman RL (1982) Percutaneous balloon valvuloplasty for pulmonary valve stenosis in the adults. Am J Cardiol 50:1442–1445PubMedCrossRefGoogle Scholar
  10. 10.
    McCrindle BW (1994) Independent predictors of long-term results after balloon pulmonary valvuloplasty. Circulation 89:1751–1759PubMedCrossRefGoogle Scholar
  11. 11.
    Park JH, Yoon YS, Yeon KM et al (1987) Percutaneous pulmonary valvuloplasty with a double-balloon technique. Radiology 164:715–718PubMedGoogle Scholar
  12. 12.
    Al-Kasab S, Ribeiro PA, Al-Zaibag M et al (1988) Percutaneous double balloon pulmonary valvotomy in adults: One-to-two year follow-up. Am J Cardiol 62:822–824PubMedCrossRefGoogle Scholar
  13. 13.
    Stanger P, Cassidy SC, Girod DA, Kan JS, Lababidi Z, Shapiro SR (1990) Balloon pulmonary valvuloplasty: results of the valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 65:775–783PubMedCrossRefGoogle Scholar
  14. 14.
    O’Connor BK, Beekman RH, Lindauer A, Rocchini A (1992) Intermediate-term outcome after pulmonary balloon valvuloplasty: comparison with a matched surgical control group. J Am Coll Cardiol 20:169–173PubMedCrossRefGoogle Scholar
  15. 15.
    Cribier A, Souudi N, Berland J et al (1986) Percutaneous transluminal valvuloplasty of acquired aortic stenosis in elderly patients: an alternative to valve replacement? Lancet 1:63PubMedCrossRefGoogle Scholar
  16. 16.
    Cribier A, Savin T, Berland J (1987) Percutaneous transluminal balloon valvuloplasty of adult aortic stenosis: report of 92 cases. J Am Coll Cardiol 9(2):381–386PubMedCrossRefGoogle Scholar
  17. 17.
    O’Keefe JH Jr, Vlietstra RE, Bailey KR (1987) Natural history of candidates for balloon aortic valvuloplasty. Mayo Clin Proc 62(11):986–991PubMedCrossRefGoogle Scholar
  18. 18.
    Safian RD, Berman AD, Diver DJ et al (1988) Balloon aortic valvuloplasty in 170 consecutive patients. N Engl J Med 319(3):125–130PubMedCrossRefGoogle Scholar
  19. 19.
    Sprigings DC, Jackson G, Chambers JB (1988) Balloon dilatation of the aortic valve for inoperable aortic stenosis. BMJ 297(6655):1007–1011PubMedCrossRefGoogle Scholar
  20. 20.
    Serruys PW, Luijten HE, Beatt KJ (1988) Percutaneous balloon valvuloplasty for calcific aortic stenosis. A treatment ‘sine cure’? Eur Heart J 9(7):782–794PubMedCrossRefGoogle Scholar
  21. 21.
    Percutaneous balloon aortic valvuloplasty (1991) Acute and 30-day follow-up results in 674 patients from the NHLBI balloon valvuloplasty registry. Circulation 84(6):2383–2397CrossRefGoogle Scholar
  22. 22.
    Bonow RO et al (2006) ACC/AHA Guidelines for the management of patients with valvular heart disease a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol 48(3):1–148CrossRefGoogle Scholar
  23. 23.
    Ferguson JJ, Garza RA (1991) Efficacy of multiple balloon valvuloplasty procedures. J Am Coll Cardiol 17:1430–1435PubMedCrossRefGoogle Scholar
  24. 24.
    Agarwal A, Kini AS, Attanti S (2005) Results of repeat balloon valvuloplasty for treatment of aortic stenosis in patients aged 59–104 years. Am J Cardiol 95(1):43–47PubMedCrossRefGoogle Scholar
  25. 25.
    Cribier A, Eltchaninoff H, Bash A et al (2002) Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation 106:3006–3008PubMedCrossRefGoogle Scholar
  26. 26.
    Zajarias A, Cribier AG (2009) Outcomes and safety of percutaneous aortic valve replacement. J Am Coll Cardiol 53(20):1829–1836PubMedCrossRefGoogle Scholar
  27. 27.
    Walter T, Simon P, Dewey T et al (2007) Transapical minimally invasive aortic valve implantation. Multicenter experience. Circulation 116:1240–1245Google Scholar
  28. 28.
    Inoue K, Owaki T, Nakamura T, Kitamura F, Miyamoto N (1984) Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Thorac Cardiovasc Surg 87:394–402PubMedGoogle Scholar
  29. 29.
    Chen CR, Cheng TO (1995) Percutaneous balloon mitral valvuloplasty by the Inoue technique: a multicenter study of 4832 patients in China. Am Heart J 129:1197–1203 PubMedCrossRefGoogle Scholar
  30. 30.
    Rihal CS, Jr Holmes (1994) Percutaneous balloon mitral valvuloplasty: issues involved in comparing techniques. Cathet Cardiovasc Diagn Suppl 2:35–41PubMedGoogle Scholar
  31. 31.
    Inoue K, Feldman T (1993) Percutaneous transvenous mitral commissurotomy using the Inoue balloon catheter. Cathet Cardiovasc Diagn 28:119–125PubMedCrossRefGoogle Scholar
  32. 32.
    Al Zaibag M, Ribeiro PA, Al Kasab S (1986) Percutaneous double-balloon mitral valvotomy for rheumatic mitral-valve stenosis. Lancet 1:757–761PubMedCrossRefGoogle Scholar
  33. 33.
    Medina A, Bethencourt A, Coello I et al (1988) Utilizacion de un Nuevo cateter bibalon para la valvuloplastia mitral percutanea transatrial. Rev Esp Cardiol 41:477–480PubMedGoogle Scholar
  34. 34.
    Patel J, Vythilingum S, Mitha AS (1990) Balloon dilatation of the mitral valve by a single bifoil (2 × 19 mm) or trefoil (3 × 15 mm) catheter. Br Heart J 64(5):342–346PubMedCentralPubMedCrossRefGoogle Scholar
  35. 35.
    Babic UU, Grujicic S, Popovic Z et al (1992) Percutaneous transarterial balloon dilatation of the mitral valve: five years experience. Br Heart J 67:185–189PubMedCentralPubMedCrossRefGoogle Scholar
  36. 36.
    Babic UU, Pejcic P, Djurisic Z et al (1986) Percutaneous transarterial balloon valvuloplasty for mitral valve stenosis. Am J Cardiol 57:1101–1104PubMedCrossRefGoogle Scholar
  37. 37.
    Cribier A, Eltchaninoff H, Koning R et al (1999) Percutaneous mechanical mitral commissurotomy with a newly designed metallic valvulotome. Circulation 99:793–799PubMedCrossRefGoogle Scholar
  38. 38.
    Fatkin D, Roy P, Morgan JJ (1993) Percutaneous balloon mitral valvotomy with the Inoue single-balloon catheter commissural morphology as a determinant of outcome. J Am Coll Cardiol 21:390–397PubMedCrossRefGoogle Scholar
  39. 39.
    Wilkins GT, Weyman AE, Abascal VM (1988) Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J 60:299–308PubMedCentralPubMedCrossRefGoogle Scholar
  40. 40.
    Iung B, Cormier B, Ducimetiere P et al (1996) Immediate results of percutaneous mitral commissurotomy. Circulation 94:2124–2130PubMedCrossRefGoogle Scholar
  41. 41.
    Bonow RO, Carabello BA, Kanu C et al (2006) ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists. Circulation 114: e84–e231PubMedCrossRefGoogle Scholar
  42. 42.
    Liu TJ, Lai HC, Lee WL et al (2008) Percutaneous balloon commissurotomy reduces incidence of ischemic cerebral stroke in patients with symptomatic rheumatic mitral stenosis. Int J Cardiol 123:189–190PubMedCrossRefGoogle Scholar
  43. 43.
    Turi ZG, Reyes VP, Raju BS et al (1991) Percutaneous balloon versus surgical closed commissurotomy for mitral stenosis: a prospective, randomized trial. Circulation 83:1179–1185PubMedCrossRefGoogle Scholar
  44. 44.
    Arora R, Nair M, Kalra GS et al (1993) Immediate and long-term results of balloon and surgical closed mitral valvotomy: a randomized comparative study. Am Heart J 125:1091–1094PubMedCrossRefGoogle Scholar
  45. 45.
    Al-Zaibag M, Ribeiro P, Al-Kasab S (1987) Percutaneous balloon valvotomy in tricuspid stenosis. Br Heart J 57(1):51–53PubMedCentralPubMedCrossRefGoogle Scholar
  46. 46.
    Khalilullah M, Tyagi S, Yadav BS et al (1987) Double-balloon valvuloplasty of tricuspid stenosis. Am Heart J 114:1232–1233PubMedCrossRefGoogle Scholar
  47. 47.
    Ribeiro P, Al-Zaibag M, Al-Kasab S et al (1988) Percutaneous double balloon valvotomy for rheumatic tricuspid stenosis. Am J Cardiol 61:660–662PubMedCrossRefGoogle Scholar
  48. 48.
    Bethencourt A, Medina A, Hermandez E et al (1990) Combined percutaneous balloon valvuloplasty of mitral and tricuspid valves. Am Heart J 119:416–418PubMedCrossRefGoogle Scholar
  49. 49.
    Berland J, Rocha P, Mechmerche R et al (1990) Percutaneous valvuloplasty for combined mitral and tricuspid stenosis: results in 3 cases. Arch Mal Coeur 83:1585–1589PubMedGoogle Scholar
  50. 50.
    Mullins PA, Hall JA, Shapiro LM (1990) Balloon dilatation of tricuspid stenosis caused by carcinoid heart disease. Br Heart J 63(4):249–250PubMedCentralPubMedCrossRefGoogle Scholar
  51. 51.
    Unger P, Clevenbergh P, Crasset V et al (1997) Pacemaker-related endocarditis inducing tricuspid stenosis. Am Heart J 133:605PubMedCrossRefGoogle Scholar
  52. 52.
    Wren C, Hunter S (1989) Balloon dilatation of a stenosed bioprosthesis in the tricuspid valve position. Br Heart J 61:65–67PubMedCentralPubMedCrossRefGoogle Scholar
  53. 53.
    Chow W-H, Cheung K-L, Tai Y-T et al (1990) Successful percutaneous balloon valvuloplasty of a stenotic tricuspid bioprosthesis. Am Heart J 119:666–668PubMedCrossRefGoogle Scholar
  54. 54.
    Shaw TRD (1992) The Inoue balloon for dilatation of the tricuspid valve: a modified over-the-wire approach. Br Heart J 67:263–265PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Cardiac Surgery Unit, Department of Cardiovascular ScienceSan Bortolo HospitalVicenzaItaly

Personalised recommendations