Functional results 5 years after successful percutaneous mitral commissurotomy in a series of 528 patients and analysis of predictive factors

Iung, Bernard; Cormier, Bertrand; Ducimetière, Pierre; Porte, Jean-Marc; Nallet, O.; Michel, Pierre-Louis; Acar, J; Vahanian, Alec

doi:10.1016/0735-1097(95)00481-5

Cited by 110 publications

(62 citation statements)

References 42 publications

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“…The efficacy of BMV has been well documented and accompanied by similar outcome as other methods [18]. (Today a similar area can be obtained after [24]. In our study, mitral restenosis occurred more frequently in patients who had PMC (7 ± 4 years).…”

Section: Discussionsupporting

confidence: 64%

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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Section: Discussionsupporting

confidence: 64%

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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“…Echocardiography demonstrated a mean left ventricular ejection fraction of 0.58±0.04 and a mean left atrial diameter (LAD) of 47±7 mm. The mean mitral valve area (MVA) was 1.11±0.19 cm, 2 and there was no or grade I mitral regurgitation (MR), determined by left ventriculography before the procedure (Table 2). [18][19][20][21] …”

Section: Study Populationmentioning

confidence: 99%

“…[1][2][3][4] Right femoral venous access was obtained and the transseptal approach with an Inoue balloon was used in all patients. The initial balloon size was determined just before each commissurotomy procedure.…”

Section: Ptmcmentioning

confidence: 99%

“…[1][2][3][4][5] Atrial fibrillation (AF) is often associated with symptomatic MS, and the restoration and maintenance of sinus rhythm (SR) can be difficult using antiarrhythmic drugs, even after PTMC. [6][7][8][9] Radiofrequency catheter ablation (RFCA) for the suppression of premature atrial contraction (PACs), triggering AF within the pulmonary veins (PVs), has been developed as a curative therapy in patients with symptomatic drug-resistant AF.…”

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confidence: 99%

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Percutaneous Transvenous Mitral Commissurotomy and Radiofrequency Catheter Ablation in Patients With Mitral Stenosis Initial Experience and Results

Miyaji

Tada

Ito

et al. 2005

Circ J

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Background The purpose of this study was to evaluate the short-and long-term results of radiofrequency catheter ablation (RFCA) for the treatment of atrial fibrillation (AF) in patients with mitral stenosis (MS) following percutaneous transvenous mitral commissurotomy (PTMC). Methods and ResultsFour patients (2 males, age 59±6 years) underwent simultaneous PTMC and pulmonary vein (PV) ablation. All patient had AF and MS (2 had persistent AF >1 month, 2 had paroxysmal AF), and the mean duration of AF was 3.4±3.3 years. The mean left atrial dimension was 47±7 mm and the mean ejection fraction was 58±4%. After PTMC, RFCA was performed in all patients (3 underwent PV isolation and 1 had PV focal ablation). The mitral valve area increased from 1.11±0.19 to 1.90±0.20 cm 2 (p<0.01). The frequency of AF episodes was dramatically reduced in the 2 patients with paroxysmal AF, and the 1 with persistent AF maintained sinus rhythm, but 1 patient with persistent AF developed recurrent AF. No complications or cardiac events occurred in any of the patients. Conclusion The combination of RFCA and PTMC was safe and feasible, and may be useful in patients with MS and AF. (Circ J 2005; 69: 1074 -1078

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“…Although there are numerous predictors of late events following the procedure -age, functional class IV, previous surgical commissurotomy, moderate to severe mitral deficit, echo score > 8, severe mitral deficit following dilatation and increased pressure in the pulmonary artery after dilatation, small valve area after the procedure 2 ), non-sinus rhythm, valve calcification on fluoroscopy, increased LA pressure, increased transvalvular gradient [9][10][11][12][13][14][15] ; there are no details in the literature about changes of P wave in the electrocardiogram performed after the mitral valvuloplasty in patients with mitral stenosis and left atrial enlargement, and there is even less understanding about the meaning of these changes at late follow-up after the percutaneous intervention.…”

Section: Resultsmentioning

confidence: 99%

Evolução da onda P do eletrocardiograma após valvoplastia mitral em pacientes portadores de sobrecarga atrial esquerda

Tarastchuk¹,

Guérios²,

Perreto³

et al. 2006

Arq. Bras. Cardiol.

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Functional results 5 years after successful percutaneous mitral commissurotomy in a series of 528 patients and analysis of predictive factors

Abstract: Good functional results were observed 5 years after successful percutaneous mitral commissurotomy in a large series of varied patients. The analysis of predictive factors may provide useful indications for follow-up results in patients undergoing this technique.

Cited by 110 publications

References 42 publications

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

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

Percutaneous Transvenous Mitral Commissurotomy and Radiofrequency Catheter Ablation in Patients With Mitral Stenosis Initial Experience and Results

Evolução da onda P do eletrocardiograma após valvoplastia mitral em pacientes portadores de sobrecarga atrial esquerda

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