Additive value of 3D-echo in prediction of immediate outcome after percutaneous balloon mitral valvuloplasty.

Autor:	Farrag HMA; Cardiology Department, Faculty of Medicine, Minia University, Minya, 61111, Egypt. dr-hazemfarrag@hotmail.com., Setouhi AM; Cardiology Department, Faculty of Medicine, Minia University, Minya, 61111, Egypt., El-Mokadem MO; Cardiology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt., El-Swasany MA; Cardiology Department, Faculty of Medicine, El-Azhar University, Cairo, Egypt., Mahmoud KS; Cardiology Department, Faculty of Medicine, Minia University, Minya, 61111, Egypt., Mahmoud HB; Cardiology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt., Ibrahim AM; Cardiology Department, Faculty of Medicine, Minia University, Minya, 61111, Egypt.
Jazyk:	angličtina
Zdroj:	The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology [Egypt Heart J] 2019 Sep 18; Vol. 71 (1), pp. 19. Date of Electronic Publication: 2019 Sep 18.
DOI:	10.1186/s43044-019-0019-x
Abstrakt:	Background: Results of percutaneous balloon mitral valvuloplasty (BMV) are basically dependent on suitable patient selection. Currently used two-dimensional (2D) echocardiography (2DE) scores have many limitations. Three-dimensional (3D) echocardiography (3DE)-based scores were developed for better patient selection and outcome prediction. We aimed to compare between 3D-Anwar and 2D-Wilkins scores in mitral assessment for BMV, and investigate the additive value of 3DE in prediction of immediate post-procedural outcome. Fifty patients with rheumatic mitral stenosis and candidates for BMV were included. Patients were subjected to 2D- and real-time 3D-transthoracic echocardiography (TTE) before and immediately after BMV for assessing MV area (MVA), 2D-Wilkins and 3D-Anwar score, commissural splitting, and mitral regurgitation (MR). Transesophageal echocardiography (TEE) was also undertaken immediately before and intra-procedural. Percutaneous BMV was performed by either multi-track or Inoue balloon technique. Results: The 2DE underestimated post-procedural MVA than 3DE (p = 0.008). Patients with post-procedural suboptimal MVA or significant MR had higher 3D-Anwar score compared to 2D-Wilkins score (p = 0.008 and p = 0.03 respectively). The 3D-Anwar score showed a negative correlation with post-procedural MVA (r = - 0.48, p = 0.001). Receiver operating characteristic (ROC) curve analysis for both scores revealed superior prediction of suboptimal results by 3D-Anwar score (p < 0.0001). The 3DE showed better post-procedural posterior-commissural splitting than 2DE (p = 0.004). Results of both multi-track and Inoue balloon were comparable except for favorable posterior-commissural splitting by multi-track balloon (p = 0.04). Conclusion: The 3DE gave valuable additive data before BMV that may predict immediate post-procedural outcome and suboptimal results.
Databáze:	MEDLINE
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