Why the study?
Does percutaneous metallic commissurotome improve mitral valve area and safety compared to Inoue balloon mitral valvuloplasty in patients with mitral stenosis?
Population
80 patients with mitral stenosis (MS) and high mitral echocardiographic scores
Comparison
Percutaneous metallic commissurotome (PMC) vs Inoue balloon mitral valvuloplasty (BMV)
Design
Cohort
Follow-up
early postprocedural
Authors
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Comparable MVA gains with PMC versus BMV do not support practice change; leaves open whether superior commissural splitting improves outcomes in mitral stenosis.
Does percutaneous metallic commissurotome improve mitral valve area and safety compared to Inoue balloon mitral valvuloplasty in patients with mitral stenosis?
Percutaneous metallic commissurotome provides comparable mitral valve area improvements to Inoue balloon valvuloplasty but with better commissural splitting, potentially lower severe regurgitation rates, and lower costs in patients with mitral stenosis.
Zaki et al. (2002) studied this question.
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