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Quantitative and qualitative morphological changes during intraoperative balloon valvuloplasty

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Interventional Cardiology and Angiology
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Abstract

In 1985, a new therapeutic approach to patients with calcified aortic stenosis was proposed — percutaneous transluminal aortic valvuloplasty (PTAV) (10). Dilatation of stenosed and calcified aortic valves, however, is not a new idea stemming from interventional cardiologists as a result of the success of balloon dilatation of coronary artery stenoses (7), but has been used since the beginning of heart surgery (11). The only detectable difference between both approaches is the instruments used for this maneuver; surgical dilatation of the aortic valve has incorporated the bare finger approach of Swann et. al (19), as well as widely varying instruments including the tripronged steel implement (1, 11). In 1956, the failure of this intervention on the early postoperative course of these patients led to a generally accepted discontinuation of its use for the routine treatment of calcific aortic stenosis (2).

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© 1989 Springer-Verlag Berlin Heidelberg

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Karsch, K.R. (1989). Quantitative and qualitative morphological changes during intraoperative balloon valvuloplasty. In: Höfling, B., v. Pölnitz, A., Erdmann, E., Steinbeck, G., Strauer, B.E. (eds) Interventional Cardiology and Angiology. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12114-6_7

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  • DOI: https://doi.org/10.1007/978-3-662-12114-6_7

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-12116-0

  • Online ISBN: 978-3-662-12114-6

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