Key result
Fluoroscopy predicted thrombolysis success in mitral prosthetic valve thrombosis; hypomobile leaflets always recovered, while blocked leaflets only recovered in early thrombosis.
Why the study?
Does fluoroscopy predict the efficacy of thrombolytic treatment in patients with bileaflet mitral prosthetic valve thrombosis?
Population
17 consecutive patients with bileaflet mitral prosthetic valve thrombosis (PVT)
Design
Cohort
Authors
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Fluoroscopy may guide thrombolysis vs surgery decisions in mitral prosthesis thrombosis; hypothesis-generating and needs prospective validation.
Observational (n=17)
Does fluoroscopy predict the efficacy of thrombolytic treatment in patients with bileaflet mitral prosthetic valve thrombosis?
Fluoroscopy can predict the success of thrombolysis in mitral prosthetic valve thrombosis, showing that hypomobile leaflets recover regardless of symptom duration, while blocked leaflets only respond in early PVT.
Montorsi et al. (2003) conducted an observational in Bileaflet mitral prosthetic valve thrombosis (PVT) (n=17). Fluoroscopy pattern (blocked versus hypomobile leaflet) vs. Blocked versus hypomobile leaflet was evaluated on Successful thrombolysis (normalization of leaflet motion and opening angle). Fluoroscopy predicted thrombolysis success in mitral prosthetic valve thrombosis; hypomobile leaflets always recovered, while blocked leaflets only recovered in early thrombosis.