Why the study?
Does percutaneous mitral commissurotomy using metallic valvotome or double-balloon technique improve immediate hemodynamic and echocardiographic outcomes compared to the Inoue balloon technique in patients with rheumatic mitral stenosis?
Population
150 patients with rheumatic mitral stenosis who were candidates for valvuloplasty
Comparison
Percutaneous mitral commissurotomy using… vs Percutaneous mitral commissurotomy using Inoue…
Design
RCT, randomized trial
Follow-up
immediate
Authors
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Favors metallic valvotome or double-balloon over Inoue for greater immediate MVA gain in rheumatic MS; extends direct technique comparisons in PMC.
Does percutaneous mitral commissurotomy using metallic valvotome or double-balloon technique improve immediate hemodynamic and echocardiographic outcomes compared to the Inoue balloon technique in patients with rheumatic mitral stenosis?
Metallic valvotome and double-balloon techniques produced superior immediate improvement in mitral valve area compared to the Inoue balloon technique in patients with rheumatic mitral stenosis.
Elsayed et al. (2000) studied this question.
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