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In-hospital and late outcomes of patients undergoing percutaneous mitral valvuloplasty in a center with intermediate volume of structural procedures
- Source :
- Revista Brasileira de Cardiologia Invasiva (English Edition). 23:173-176
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- Background Percutaneous mitral valvuloplasty is the treatment of choice for rheumatic mitral stenosis with favorable anatomy, for its ability to prevent complications inherent to a surgical procedure, while maintaining effectiveness. It is necessary to promote comparisons between the results obtained by the procedure performed at referral centers with high patient inflow and at institutions with lower volume and fewer patients, which represents the main objective of this study. Methods Thirty-one consecutive patients undergoing percutaneous mitral valvuloplasty were analyzed from September 2006 to January 2015. Immediate procedural success and late event-free survival rates were evaluated, defined as cardiovascular death or need for a new mitral valve intervention. Results The mean age was 40.9 ± 14.2 years, with a predominance of females (96.8%). The mean Wilkins and Block score was 8.1 ± 1.2. All procedures were performed using the Inoue technique, with an immediate success rate of 90.3%. At mean follow-up of 6.8 ± 2.5 years, seven events (22.6%) were observed: two cardiovascular deaths, four surgeries for mitral valve replacement, and one mitral commissurotomy. Conclusions In a hospital with intermediate procedure volume, the results of percutaneous mitral valvuloplasty in the treatment of rheumatic mitral stenosis with favorable anatomy were comparable to those achieved by high-volume centers.
- Subjects :
- Balloon valvuloplasty
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Mitral valvuloplasty
Rheumatic mitral stenosis
Cardiovascular death
Internal medicine
Mitral valve
medicine
Rheumatic fever
cardiovascular diseases
Valvuloplastia com balão
business.industry
Mitral valve replacement
Febre reumática
Mean age
General Medicine
Surgery
medicine.anatomical_structure
Estenose da valva mitral
cardiovascular system
Cardiology
Mitral valve stenosis
business
Mitral commissurotomy
Subjects
Details
- ISSN :
- 22141235
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Revista Brasileira de Cardiologia Invasiva (English Edition)
- Accession number :
- edsair.doi.dedup.....b2f6905b3a5aee0992f9004b84bbf386
- Full Text :
- https://doi.org/10.1016/j.rbciev.2016.07.004