CRT-718 Percutaneous Mitral Balloon Valvotomy. Echocardiographic Score ≤ 8 and &gt; 8, Assessment of Risk Factors for Death and Major Events in Long-Term Follow-up

Borges, Ivana Picone; Peixoto, Edison Carvalho Sandoval; Peixoto, Rodrigo Trajano Sandoval; Peixoto, Ricardo Trajano Sandoval

doi:10.1016/j.jcin.2014.01.137

Cited by 4 publications

(5 citation statements)

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“…All-cause mortality was reported ranging from 0.6 – 14% after PTMC and 6 - 25% after MVR. 6 , 7 , 9 , 14 - 16 In this study, all-cause mortality was 17.1% after PTMC and 15% after MVR, supporting the results of the previous studies. In addition, stroke and systemic embolism rate (4 - 5%) was similar to the previous reports (2 – 4%).…”

Section: Discussionsupporting

confidence: 91%

Long-term outcomes of severe rheumatic mitral stenosis after undergoing percutaneous mitral commissurotomy and mitral valve replacement: A 10-year experience

Promratpan

Theerasuwipakorn

Lertsuwunseri

et al. 2022

J Cardiovasc Thorac Res

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Introduction: Percutaneous mitral commissurotomy (PTMC) and mitral valve replacement (MVR) are treatments of choice for severe rheumatic mitral stenosis (MS). Data regarding the long-term outcomes of patients who underwent PTMC and MVR are limited. Methods: A retrospective cohort study was conducted to evaluate the long-term outcomes of patients with severe rheumatic MS who underwent PTMC or MVR between 2010 to 2020. The primary outcome comprised of all-cause death, stroke or systemic embolism, heart failure hospitalization and re-intervention. Cox regression was used to investigate predictors of the primary outcome. Results: 264 patients were included in analysis, 164 patients (62.1%) in PTMC group and 100 patients in MVR group (37.9%). The majority were females (80.7%) and had atrial fibrillation (68.6%). The mean age was 49.52 (SD: 13.03) years old. MVR group had more age and AF, higher Wilkins’ score with smaller MVA. Primary outcome occurred significantly higher in PTMC group (37.2% vs 22%, P=0.002), as well as, re-intervention (18.3% vs 0%, P<0.001). However, all-cause mortality, stroke or systemic embolism and heart failure hospitalization were not significantly different. In multivariate Cox regression analysis, PTMC (HR 1.94; 95%CI 1.14, 3.32; P=0.015), older age (HR 1.03; 95%CI 1.01, 1.06; P=0.009) and SPAP > 50 mmHg (HR 2.99; 95%CI 1.01, 8.84; P=0.047) were the only predictors of primary outcome. Conclusion: Primary outcome occurred in PTMC group more than MVR group which was driven by re-intervention. However, all-cause mortality, stroke or systemic embolism and heart failure hospitalization were not significantly different.

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Section: Discussionsupporting

confidence: 91%

Long-term outcomes of severe rheumatic mitral stenosis after undergoing percutaneous mitral commissurotomy and mitral valve replacement: A 10-year experience

Promratpan

Theerasuwipakorn

Lertsuwunseri

et al. 2022

J Cardiovasc Thorac Res

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“…Otro factor que ha sido identificado como predictor de buenos resultados a corto plazo es la menor edad de los pacientes. Nuestra población, predominantemente mujeres, presentó una edad promedio de 46 años, similar a series de Estados Unidos de Norteamérica y Europa, pero claramente mayor a otras de países en vías de desarrollo 18 . En el seguimiento a largo plazo, encontramos que 39,1% de los pacientes estaban vivos, en CF I o II y sin necesidad de nuevas intervenciones luego de un promedio de 13,5 años.…”

Section: Discussionunclassified

Resultados a largo plazo de la valvuloplastía mitral con balón

et al. 2014

Rev. méd. Chile

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“…In recent report [26], mitral restenosis occurred in 44.1% of patients in a mean 49 ± 31 months follow-up. In the other hand, not all patients were found to have an optimal mitral valve area, and it suggested that the mechanism of successful PMC may be more complex than reported previously [27] [28].…”

Section: Discussionmentioning

confidence: 90%

“…Numerous studies identified some factors that favor a more successful outcome as: young age, satisfactory valvular anatomy, echocardiographic score ≤8, presence of sinus rhythm, absence of mitral regurgitation before the procedure, and absence of surgical mitral commissurotomy before the procedure [26] [30]…”

Section: Discussionmentioning

confidence: 99%

Mitral Valve Commissurotomy: Which One between the Three Techniques Gives a Better Long-Team Outcome?

Aithoussa¹,

Atmani²,

Abetti³

et al. 2017

WJCD

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Objective: we sought to compare long-term results of three techniques: CMC, OMC and PMC in patients with rheumatic mitral stenosis. Patients and Method: Between January 1994 and December 2015, 183 patients underwent mitral valve surgery for rheumatic mitral restenosis. All patients were investigated by echocardiography-Doppler performed by a senior cardiologist. The patients were divided into 3 groups: patients who have previously closed mitral commissurotomy (CMC n = 101), patients with previously open mitral commissurotomy (OMC n = 28) and those treated by Balloon mitral valvuloplasty (PMC = 54). Results: The three groups were comparable in term of major demographic data. Mitral restenosis occurred precociously in groups treated by PMC (7 ± 4 years), followed by group with OMC 11.4 ± 4 years and CMC group but it occurred later CMC 16.8 ± 7.8 years (p < 0.01). No statistical difference was found in perioperative and postoperative data. Conclusion: CMC produces better long-term outcome than OMC and PMC. However, it would be premature to conclude to its superiority.

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CRT-718 Percutaneous Mitral Balloon Valvotomy. Echocardiographic Score ≤ 8 and > 8, Assessment of Risk Factors for Death and Major Events in Long-Term Follow-up

Cited by 4 publications

References 0 publications

Long-term outcomes of severe rheumatic mitral stenosis after undergoing percutaneous mitral commissurotomy and mitral valve replacement: A 10-year experience

Long-term outcomes of severe rheumatic mitral stenosis after undergoing percutaneous mitral commissurotomy and mitral valve replacement: A 10-year experience

Resultados a largo plazo de la valvuloplastía mitral con balón

Mitral Valve Commissurotomy: Which One between the Three Techniques Gives a Better Long-Team Outcome?

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