Atrial septal puncture technique in percutaneous transvenous mitral commissurotomy: Mitral valvuloplasty using the inoue balloon catheter technique

Hung, Jui‐Sung

doi:10.1002/ccd.1810260407

Cited by 62 publications

(40 citation statements)

References 28 publications

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“…Hung [11]used the septal puncture approach without right atrium angiography. In his method, the aortic valve is substituted as the landmark for the upper end of the tricuspid valve because the two valves are in close proximity to each other.…”

Section: Discussionmentioning

confidence: 99%

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A New Approach for Transseptal Catheterization in Patients Undergoing Percutaneous Balloon Mitral Valvuloplasty

et al. 2002

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Aims: To evaluate the safety and efficacy of a new approach for transseptal catheterization in patients undergoing percutaneous balloon mitral valvuloplasty (PBMV). Methods: One hundred and two patients with rheumatic mitral stenosis were randomized into two groups. In the study group (RA approach), an imaginary horizontal line was drawn from the top end of the tricuspid valve under anteroposterior fluoroscopic view. The intersection of the horizontal line and the right edge of the corresponding thoracic vertebra was defined as the upper border of the Fossa ovalis. The atrial septum was punctured from a point 0.5 cm below the upper border of the Fossa ovalis. In the control group (LA approach), an imaginary horizontal line was drawn between the upper and middle third of the left atrium, and the intersection of this horizontal line and the right edge of the corresponding thoracic vertebra was used as an atrial septum puncture point. Results: Atrial septum puncture succeeded in all patients in the study group and in 72.6% of the patients in the control group (p < 0.01). The average fluoroscopy times for transseptal catheterization in the study and the control groups were 2.0 ± 0.5 and 3.0 ± 1.0 min, respectively (p < 0.01). Transseptal catheterization was subsequently achieved using the RA approach in the 14 patients from the control group in whom the LA approach failed. Conclusions: The RA approach is a safe and effective means for transseptal catheterization in patients undergoing PBMV.

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Section: Discussionmentioning

confidence: 99%

“…Since then, the transseptal puncture technique for diagnostic left heart catheterization or PBMV has been extensively described [5, 6, 7, 8, 9, 10, 11, 12]. The purpose of this study was to assess the clinical efficacy and safety of using the tricuspid valve as a landmark for atrial septum puncture and transseptal catheterization.…”

Section: Introductionmentioning

confidence: 99%

A New Approach for Transseptal Catheterization in Patients Undergoing Percutaneous Balloon Mitral Valvuloplasty

et al. 2002

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“…The transseptal puncture in majority of the centers is performed under fluoroscopic guidance. 12 Intra-procedural TTE or TEE use in our center is limited to selective patients with difficult TSP, technical problems or any complication.…”

Section: Role Of Echo Imaging In Transseptal Catheterizationmentioning

confidence: 99%

Role of Echocardiographic Imaging in Percutaneous Balloon Mitral Valvotomy

Sharma

Kolekar

2015

Cardiovasc. j.

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Mitral stenosis (MS) is a still frequently encountered in India and Bangladesh. Untreated MS contributes to the morbidity and mortality. Balloon mitral Valvotomy is effective and commonly used for relief of obstruction in symptomatic patients. The case selection is guided by clinical characteristics and imaging. Echocardiography is the most important imaging modality to assess severity of obstruction its hemodynamic consequences as well as valve morphology. Transthoracic two dimensional echocardiography is usually sufficient to provide the desired information. Trans esophageal echocardiography is used when the valve cannot be adequately assessed by trans thoracic echocardiography and to exclude intracardiac thrombi prior to intervention. Three dimensional transthoracic and trans esophageal echocardiographic assessment provides more elaborate physiological and morphological information. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22261 Cardiovasc. j. 2015; 7(2): 128-136

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“…PTMV was performed using an Inoue balloon (Toray Medical Corporation, Tokyo, Japan) and the transseptal approach. 17 LA pressure was recorded before and after PTMV. All patients gave informed written consent and all procedures followed institutional ethical standards and guidelines.…”

Section: Patientsmentioning

confidence: 99%

Prognostic Predictors of Sinus Rhythm Control by Amiodarone and Electrical Cardioversion in Patients Undergoing Percutaneous Transluminal Mitral Valvuloplasty for Rheumatic Atrial Fibrillation

Guo

Hang

Chang

et al. 2007

Circ J

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Atrial septal puncture technique in percutaneous transvenous mitral commissurotomy: Mitral valvuloplasty using the inoue balloon catheter technique

Cited by 62 publications

References 28 publications

A New Approach for Transseptal Catheterization in Patients Undergoing Percutaneous Balloon Mitral Valvuloplasty

A New Approach for Transseptal Catheterization in Patients Undergoing Percutaneous Balloon Mitral Valvuloplasty

Role of Echocardiographic Imaging in Percutaneous Balloon Mitral Valvotomy

Prognostic Predictors of Sinus Rhythm Control by Amiodarone and Electrical Cardioversion in Patients Undergoing Percutaneous Transluminal Mitral Valvuloplasty for Rheumatic Atrial Fibrillation

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