Predictors of Developing Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy with Inoue Balloon Technique
Joint Authors
Elsokkary, Hatem F.
al-Asfar, Abd al-Fatah A.
Source
Cardiology Research and Practice
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Despite the high technical expertise in percutaneous mitral commissurotomy (PMC), mitral regurgitation (MR) remains a major procedure-related complication.
The aim of this work is to find out the most sensitive and applicable predictors of development of significant mitral regurgitation (SMR) following percutaneous mitral commissurotomy using Inoue balloon technique.
Methods.
We studied prospectively the preprocedural (clinical, echocardiography, and hemodynamic) and procedural predictors of significant mitral regurgitation (identified as increase of ≥2/4 grades of pre-PMC MR by color Doppler flow mapping) following valvuloplasty using Inoue balloon in 108 consecutive patients with severe mitral stenosis.
Multiple stepwise logistic regression analysis was performed for variables found positive on univariate analysis to determine the most important predictor(s) of developing SMR.
Results.
The incidence of SMR following PMC using Inoue technique was 18.5% (10 patients).
MV scoring systems were the only variables that showed significant differences between both groups (Group A without SMR and Group B with SMR).
However, no clinical, other echocardiographic measurements, hemodynamic or procedural variables could predict the development of SMR.
Using multiple regression analysis, the best predictive factor for the risk of SMR after Inoue BMV was the total MR-echo score with a cutoff point of 7 and a predictive percentage of 97.7%.
Conclusions.
The total MR-echo score is the only independent predictor of SMR following PMC using Inoue technique with a cutoff point of 7.
American Psychological Association (APA)
al-Asfar, Abd al-Fatah A.& Elsokkary, Hatem F.. 2011. Predictors of Developing Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy with Inoue Balloon Technique. Cardiology Research and Practice،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-491823
Modern Language Association (MLA)
al-Asfar, Abd al-Fatah A.& Elsokkary, Hatem F.. Predictors of Developing Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy with Inoue Balloon Technique. Cardiology Research and Practice No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-491823
American Medical Association (AMA)
al-Asfar, Abd al-Fatah A.& Elsokkary, Hatem F.. Predictors of Developing Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy with Inoue Balloon Technique. Cardiology Research and Practice. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-491823
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-491823