July 2, 1991European Heart Journal
Immediate and mid-term results of percutaneous mitral commissurotomy
Why the study?
Does percutaneous mitral commissurotomy improve valve area and mid-term clinical outcomes in patients with mitral stenosis?
Population
600 patients with mitral stenosis, mean age 43 +/- 15 years. 108 had previous surgical commissurotomy, 464…
Design
Case_series
Follow-up
15 +/- 11 months for the followed-up cohort; actuarial…
Authors
Discussion
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Member takes
Implication
Supports PMC feasibility in mitral stenosis; leaves open need for randomized confirmation of mid-term outcomes.
Structured PICO
Does percutaneous mitral commissurotomy improve valve area and mid-term clinical outcomes in patients with mitral stenosis?
P
Population
600 patients with mitral stenosis, mean age 43 +/- 15 years. 108 had previous surgical commissurotomy, 464 were in NYHA class III or IV, and 188 had atrial fibrillation.
I
Intervention
Percutaneous mitral commissurotomy (PMC)
O
Outcome
Valve function (valve area) and mid-term actuarial rates of survival, freedom from need for reoperation, and good functional results
Percutaneous mitral commissurotomy effectively increases valve area with acceptable complication rates and provides good mid-term survival and functional outcomes in patients with mitral stenosis.
Cite This Study
Vahanian et al. (1991) studied this question.