June 9, 2010Echocardiography
Immediate and Follow‐Up Results of Repeat Percutaneous Mitral Balloon Commissurotomy for Restenosis After a Succesful First Procedure
Why the study?
Does repeat percutaneous mitral commissurotomy improve outcomes in patients with symptomatic mitral restenosis after a successful first procedure?
Population
20 patients with symptomatic mitral restenosis after a successful first percutaneous mitral commissurotomy…
Design
Cohort
Follow-up
mean 70 ± 29 months (36-156 months)
Authors
Discussion
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Member takes
Implication
Supports repeat commissurotomy for mitral restenosis after initial success; leaves open need for randomized trials versus surgery.
Structured PICO
Does repeat percutaneous mitral commissurotomy improve outcomes in patients with symptomatic mitral restenosis after a successful first procedure?
P
Population
20 patients with symptomatic mitral restenosis after a successful first percutaneous mitral commissurotomy (PMC), 95% female, mean age 37 ± 4 years. All in sinus rhythm with mean Wilkins score 8.5 ± 1.2.
I
Intervention
Repeat percutaneous mitral commissurotomy (PMC)
O
Outcome
Immediate results (valve area, mean gradient, success rate) and midterm results (restenosis, intervention-free survival, functional capacity)
Repeat percutaneous mitral commissurotomy is a safe and effective treatment for mitral restenosis after a successful first procedure, offering good midterm intervention-free survival.
Limitations
- limited number of selected patients
Cite This Study
Yazıcıoğlu et al. (2010) studied this question.