二尖瓣球囊短期追踪的结果:一项中心实验

Abdulkadir Yıldız, H. Kaya, Faruk Ertaş, Nihat Polat, M. Aydın, Murat Yüksel, S. Soydinç, Murat Çaylı, M. S. Ülgen, Nizamettin Toprak
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引用次数: 0

摘要

目的:我们试图分析经皮二尖瓣球囊瓣膜成形术(PMBV)治疗风湿性二尖瓣狭窄(MS)的短期临床、超声心动图和血流动力学结果。方法:对53例患者进行回顾性分析,其中女性49例,男性5例;2010年1月至2014年10月期间因中度或重度MS接受PMBV治疗的患者(平均年龄38 - 11岁)。手术成功的定义是二尖瓣面积(MVA)达到1.5 cm2,没有三级二尖瓣反流。结果:53例患者中有48例(91%)成功行PMBV手术,所有手术均成功完成。3例患者因无法通过二尖瓣,1例患者因膜性腔静脉梗阻性,1例患者因无法进行中隔造口而无法进行PMBV。2例成功行PMBV的患者在平均14个月的随访后出现症状,并因中重度ms进行了二尖瓣置换术。患者平均随访13 ~ 8个月,未观察到房颤发展或栓塞并发症。结论:经皮二尖瓣球囊成形术是一种安全有效的治疗方法,成功率高,并发症发生率低。
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Perkütan mitral balon valvüloplasti kısa dönem takip sonuçları: Tek merkez deneyimi
Objective: We sought to analyze short-term clinical, echocardiographic, and hemodynamic consequences of percutaneous mitral balloon valvuloplasty (PMBV) in the treatment of rheumatic mitral stenosis (MS) in our clinic. Methods: We retrospectively reviewed 53 patients (49 females, 5 males; mean age 38p11 years) who underwent PMBV for moderate or severe MS between January 2010 and October 2014. Procedural success was defined as the reaching a mitral valve area (MVA) >1.5 cm2 and absence of grade 3 mitral regurgitation. Results: We were able to perform PMBV in 48 of 53 patients (91%) and all the procedures that were completed were successful. PMBV couldn\'t be performed in 3 patients due to inability to pass the mitral valve, 1 patient due to membranous obstructive vena cava and 1 patient due inability to perform septostomi. Two patients who underwent successful PMBV became symptomatic after an average of 14 months follow-up and mitral valve replacement was performed due to moderate-to-severe MS. Patients were followed for an average of 13 p 8 months and atrial fibrillation development or embolic complications were not observed. Conclusion: Percutaneous mitral balloon valvuloplasty procedure is a safe and effective treatment approach with high success and low complication rates in experienced centers.
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