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
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.
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Databáze: OpenAIRE
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