Influence of intraballoon pressure on development of severe mitral regurgitation after percutaneous transvenous mitral commissurotomy
| Autor: | Takashi Yamabe, Kohji Kimura, Kunio Miyatake, Fuminobu Ishikura, Seiki Nagata |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty macromolecular substances Catheterization Postoperative Complications Internal medicine Mitral valve Pressure medicine Humans Mitral Valve Stenosis Multiple logistic regression analysis cardiovascular diseases Aged Inoue balloon Mitral regurgitation Percutaneous transvenous mitral commissurotomy business.industry Hemodynamics Mitral Valve Insufficiency Middle Aged Surgery Catheter medicine.anatomical_structure Echocardiography cardiovascular system Cardiology Mitral Valve Female Cardiology and Cardiovascular Medicine business Complication Commissurotomy |
| Zdroj: | Catheterization and Cardiovascular Diagnosis. 31:270-276 |
| ISSN: | 1097-0304 0098-6569 |
| DOI: | 10.1002/ccd.1810310405 |
| Popis: | To evaluate the influence of intra-balloon pressure on the development of severe mitral regurgitation (> or = grade 3+), we measured intraballoon pressure during percutaneous transvenous mitral commissurotomy (PTMC) in 62 patients using the Inoue balloon catheter. The peak intraballoon pressure was 2.29 +/- 0.55 kg/cm2. Severe mitral regurgitation as a result of leaflet tear occurred in 7 patients (11%). Patients were divided into two groups those with (n = 7) and those without (n = 55) severe mitral regurgitation. Intraballoon pressure had been significantly higher in those with vs. those without severe mitral regurgitation (2.76 +/- 0.31 kg/cm2 vs. 2.23 +/- 0.55 kg/cm2, P < 0.01). Multiple logistic regression analysis revealed that the occurrence of severe mitral regurgitation was related to only the peak intraballoon pressure. These data suggest that a high intraballoon pressure is a risk factor for severe mitral regurgitation as a result of leaflet tear. |
| Databáze: | OpenAIRE |
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