Temporal Trends on Percutaneous Mitral Commissurotomy: 30 Years of Experience
Autor: | Cyrielle Desnos, Claire Bouleti, Gregory Ducrocq, Bertrand Cormier, Phalla Ou, Marina Urena, Alec Vahanian, Dominique Himbert, Eric Brochet, Bernard Iung |
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Rok vydání: | 2019 |
Předmět: |
Balloon Valvuloplasty
Adult Male medicine.medical_specialty Cardiac Catheterization Percutaneous Mitral Valve Annuloplasty 030204 cardiovascular system & hematology percutaneous procedure 03 medical and health sciences temporal trends 0302 clinical medicine Age Distribution Postoperative Complications Catheter-Based Coronary and Valvular Interventions medicine Humans Mitral Valve Stenosis 030212 general & internal medicine Treatment Failure Cardiac Surgical Procedures Original Research Aged business.industry Mitral valve diseases Rheumatic Heart Disease Editorials Calcinosis Mitral Valve Insufficiency Hypertrophy Middle Aged balloon mitral valvuloplasty Surgery valve dynamics Treatment Outcome Editorial Valvular Heart Disease Multivariate Analysis Female France Cardiology and Cardiovascular Medicine business Mitral commissurotomy valve mitral stenosis Follow-Up Studies |
Zdroj: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
ISSN: | 2047-9980 |
Popis: | Background Percutaneous mitral commissurotomy (PMC) was the first available transcatheter technique for treatment of mitral valve diseases. Experience has led to extending the indications to patients with less favorable characteristics. We aimed to analyze (1) the temporal trends in characteristic and outcomes of patients undergoing PMC in a single center over 30 years and (2) the predictive factors of poor immediate results of PMC. Methods and Results From 1987 to 2016, 1 full year for each decade was analyzed: 1987, 1996, 2006, and 2016. Poor immediate results of PMC were defined as a mitral valve area 2. Mitral anatomy was assessed using the Cormier classification and the fluoroscopic extent of calcification. Six hundred three patients were included: 111, 202, 205, and 85, respectively. Mean age increased >10 years over time (P40% during the past decade (P3 out of 4 patients in recent years. See Editorial Palacios |
Databáze: | OpenAIRE |
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