Balloon aortic valvuloplasty: review of the evidence and current indications

Balloon aortic valvuloplasty was introduced over two decades ago as an alternative to aortic valve replacement in elderly patients deemed unsuitable for surgery. Due to high early restenosis rates and no effect on long-term mortality, the procedure’s development stalled. However, with recent technological advances, in particular the advent of the transcatheter aortic valve implantation, there has been a resurgence of this technique. The goal of this article is to review the literature and current issues of balloon aortic valvuloplasty.