Comparison of Long-Term(Over 10 Years) Outcome of Percutaneous Mitral Balloon Valvuloplotomy between Moderate and Severe Mitral Stenosis
Korean Circulation Journal
;
: 208-213, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-36302
ABSTRACT
BACKGROUND AND OBJECTIVES:
Percutaneous mitral balloon valvuloplotomy (PMV) is a safe and effective procedure for the treatment of mitral stenosis (MS); however, its long-term results according to the severity of MS remain unknown. The aim of this study was to compare the long-term results of PMV between moderate and severe MS. SUBJECTS ANDMETHODS:
The immediate and long-term outcomes of 786 patients (198 male, mean age; 43 years) who underwent PMV at a single referral center, between 1988 and 2000, were analyzed. The clinical and echocardiographic data were compared between moderate (n=357) and severe MS (n=429).RESULTS:
Optimal results were gained in 618 (79%) patients, including 80 and 76% moderate and severe MS cases, respectively (p=0.13). Acute complications occurred in 85 patients (11%), but without significant difference between the two groups. After a mean follow-up period of 94 months (range, 6 to 210 month), the 5 year event-free survival rate was better in moderate (88%) than in severe MS (79%), but the 10 year event-free survival rates were no different (65% vs. 65%). Independent predictors for better prognosis were a lower echo score ( or =1.7 cm2)(p=0.002, HR=0.65), less mitral regurgitation (CONCLUSION:
The immediate and long-term outcomes of PMV for moderate MS were no better after 9 years than those for severe MS. Therefore, PMV for moderate MS should be considered in selected cases with a favorable MV morphology.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pronostic
/
Orientation vers un spécialiste
/
Échocardiographie
/
Études de suivi
/
Survie sans rechute
/
Valvuloplastie par ballonnet
/
Pression auriculaire
/
Valve atrioventriculaire gauche
/
Insuffisance mitrale
/
Sténose mitrale
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Korean Circulation Journal
Année:
2006
Type:
Article
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