Document Detail


Percutaneous mitral valvotomy in 200 patients using Inoue balloon-immediate and early haemodynamic results.
MedLine Citation:
PMID:  8314268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our experience with percutaneous balloon valvotomy using the Inoue technique in 200 cases with rheumatic mitral stenosis. The procedure was successful in 195 (97.5%) cases with a fluoroscopy time of 9 +/- 2.7 and procedure time of 60 +/- 19 minutes. Mitral valve area as estimated by Gorlin's equation and pressure half time increased from 0.86 +/- 0.17 to 2.21 +/- 0.41 and from 0.94 +/- 0.14 to 1.90 +/- 0.26 (p < 0.001) respectively. Other hemodynamic variables including mitral valve gradient, cardiac output, left atrial mean and pulmonary artery pressure improved significantly. There were no deaths and the incidence of major complications was small. Increase in mitral regurgitation was observed in 35 (17.9%) with grade 2+ increase in 7 (3.6%). Inoue balloon technique is safe, easy to perform and provides excellent clinical and hemodynamic benefits in majority of cases.
Authors:
S Sharma; Y S Loya; D M Desai; R J Pinto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  45     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1993 May-Jun
Date Detail:
Created Date:  1994-03-18     Completed Date:  1994-03-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  169-72     Citation Subset:  IM    
Affiliation:
B Y L Nair Hospital, Bombay.
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MeSH Terms
Descriptor/Qualifier:
Adult
Balloon Dilatation / methods*
Echocardiography
Female
Hemodynamics*
Humans
Male
Mitral Valve Stenosis / physiopathology,  therapy*,  ultrasonography
Pregnancy
Rheumatic Heart Disease / complications

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