Comparative study on safety, efficacy, and midterm results of balloon mitral valvotomy performed with triple lumen and double lumen mitral valvotomy catheters

Nair, Krishna Kumar Mohanan; Pillai, Harikrishnan Sivadasan; Thajudeen, Anees; Tharakan, Jaganmohan A.; Titus, Thomas; Valaparambil, Ajitkumar; Sivasubramonian, Sivasankaran; Mahadevan, Krishnamoorthy Kavassery; Namboodiri, Narayanan; Sasidharan, Bijulal; Ganapathi, Sanjay

doi:10.1002/ccd.24284

Cited by 9 publications

(16 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 The incidence of balloon rupture is significantly higher in cases with calcified valve which could have been the primary cause of this mishap during the course of our procedure in this patient. The occurrence of balloon assembly malfunction or rupture of balloon is an extremely rare occurrence in a new balloon catheter.…”

Section: Discussionmentioning

confidence: 64%

An unusual percutaneous transmitral commissurotomy: A collection of four rare occurrences!

Shankarappa

Agrawal

Karur

et al. 2013

Journal of Cardiovascular Disease Research

View full text Add to dashboard Cite

a b s t r a c tWe are presenting an interesting case of a 30-year-old patient taken for percutaneous transvenous mitral commissurotomy (PTMC) for severe rheumatic mitral stenosis in which there was a collection of four unusual occurrences during the course of a procedure.She had recurrent generalized toniceclonic seizures immediately after femoral sheath insertion requiring the patient to be mechanically ventilated. Subsequently, the pressure tracings recorded with catheters in the aorta and the pulmonary artery showed transient unusually high supra-systemic pulmonary artery pressure. During inflation the Accura PTMC balloon which was used to dilate the mitral valve ruptured and the procedure subsequently had to be completed using another balloon catheter. During the procedure the presence of a distended stomach due to insufflations of air during positive pressure ventilation which subsided subsequently was another unusual documentation on fluoroscopy. The final outcome of the procedure was successful.This case presents an interesting collection of unusual occurrences during a PTMC procedure which started on an unusual note but ended on a successful one. Careful assessment and appropriate management of complications can lead to successful outcome of procedures as in our case.

show abstract

Section: Discussionmentioning

confidence: 64%

An unusual percutaneous transmitral commissurotomy: A collection of four rare occurrences!

Shankarappa

Agrawal

Karur

et al. 2013

Journal of Cardiovascular Disease Research

View full text Add to dashboard Cite

show abstract

“…PTMC, first introduced by Inoue et al (1984), is the first line of treatment for selected patients of rheumatic MS 2. PTMC has proven efficacy and safety, but the cost of the catheter is a limitation especially in developing countries like India.…”

Section: Discussionmentioning

confidence: 99%

“…PTMC has proven efficacy and safety, but the cost of the catheter is a limitation especially in developing countries like India. Owing to lower cost and similar proven safety and efficacy, the Accura balloon is increasingly being used as the preferred choice over Inoue balloon 1 2…”

Section: Discussionmentioning

confidence: 99%

“…It is known that Accura balloon can deliver more stable and higher pressures when the balloon is inflated within the stated diameter range 7. The mesh regulates the balloon diameter, shape, the inner pressure and resist the rupture of the balloon 2. The breakage of the mesh is responsible for the abnormal balloon inflation.…”

Section: Discussionmentioning

confidence: 99%

“…The reuse of sterilised balloon is widely practised, particularly in developing countries to bring down the cost of the procedure. The safety of the resterilized hardware for PTMC is reported 1 2. The reused balloons may deform and are prone to rupture.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Accura balloon rupture during percutaneous trans-septal mitral commissurotomy: a rare and potentially fatal complication

et al. 2013

View full text Add to dashboard Cite

Percutaneous transseptal mitral commissurotomy (PTMC) is the treatment of choice in rheumatic mitral stenosis. The reuse of sterilised PTMC balloon catheters is widely practised to bring down the procedure cost and have proven safety and efficacy. The reused balloons may deform and are prone to rupture causing fatal complications like embolism either of the torn balloon material or air. We report a first case of Accura balloon rupture during PTMC to the best of our knowledge. Fortunately, there was no complication in our patient. Thus, during the balloon preparation it should be examined for any deformity or tear and air should be removed completely to prevent fatal outcome. The repeated use of the hardware should be limited and an informed consent regarding the possible complications of the reused hardware should be taken.

show abstract

Balloon Mitral Valvuloplasty

Manjunath

Moorthy

Kaul

2016

Interventional Cardiology

View full text Add to dashboard Cite

Comparative study on safety, efficacy, and midterm results of balloon mitral valvotomy performed with triple lumen and double lumen mitral valvotomy catheters

Cited by 9 publications

References 39 publications

An unusual percutaneous transmitral commissurotomy: A collection of four rare occurrences!

An unusual percutaneous transmitral commissurotomy: A collection of four rare occurrences!

Accura balloon rupture during percutaneous trans-septal mitral commissurotomy: a rare and potentially fatal complication

Balloon Mitral Valvuloplasty

Contact Info

Product

Resources

About