A case series illustrating the utility of ‘over the wire’ technique and its modifications during percutaneous transvenous mitral commissurotomy

Satish Karur, Ravindranath K S, Ravi S. Math, Laxmi H. Shetty, Natesh B H, Sunil Kumar K R, C.N. Manjunath
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Abstract

The efficacy and safety of percutaneous transvenous mitral commissurotomy by the Inoue technique, in patients with rheumatic mitral stenosis is well known. However, presence of left atrial/appendage thrombus or difficult LV entry entails the use of ‘over the wire’(OTW)technique. Here we describe a case series highlighting the utility and modifications of OTW technique.

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一个案例系列说明了在经皮经静脉二尖瓣合并术中“线上”技术的应用及其改进
经皮经静脉二尖瓣切开术治疗风湿性二尖瓣狭窄的有效性和安全性是众所周知的。然而,存在左心房/附件血栓或左室进入困难需要使用“线外”(OTW)技术。在这里,我们描述了一个案例系列,突出了OTW技术的实用性和修改。
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