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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Comparison of early results of percutaneous metallic mitral commissurotome with Inoue balloon technique in patients with high mitral echocardiographic scores
Catheterization and Cardiovascular Interventions, Volume 57, No. 3, Year 2002
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Description
We compared the safety, efficacy, and cost of the newly introduced percutaneous metallic commissurotome (PMC) with the results of Inoue balloon mitral valvuloplasty (BMV) in 80 patients with mitral stenosis (MS). The mean increase in mitral valve area (MVA) was 0.95 ± 0.19 to 1.7 ± 0.35 cm2 for PMC and 0.97 ± 0.15 to 1.81 ± 0.36 cm2 for BMV (P = NS). The Wilkins echocardiographic scores before dilatation did not correlate with any difference in MVA after dilatation. Bilateral commissural splitting was significantly more common with PMC than with BMV (30/39 patients, 76.9%, vs. 21/40 patients, 52.5%; P = 0.02). Postprocedural severe mitral regurgitation occurred in 1/39 (2.6%) in the PMC group and in 4/41 (9.8%) in the BMV group. Because the PMC device is resterilizable, we estimated the cost to be one-fourth the cost of BMV with the Inoue balloon. The estimated device cost ratio of PMC to BMV for each patient was 1 to 4.25. The early results of PMC on the MVA are comparable to BMV. However, PMC had better results not only in patients with high echocardiographic scores, but the PMC device splits commissural calcification better than BMV. © 2002 Wiley-Liss, Inc.
Authors & Co-Authors
Zaki, Adel M.
Egypt, Cairo
Faculty of Medicine
Kassem, H. H.
Egypt, Cairo
Faculty of Medicine
Bakhoum, Sameh Wadie G.
Egypt, Cairo
Faculty of Medicine
Mokhtar, Magdy
Egypt, Cairo
Faculty of Medicine
El Nagar, Wael
Egypt, Cairo
Faculty of Medicine
White, Christopher J.M.D.
United States, New Orleans
Ochsner Heart and Vascular Institute
Guindy, Mohamed El
Egypt, Cairo
Faculty of Medicine
Statistics
Citations: 13
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1002/ccd.10312
ISSN:
15221946
Research Areas
Health System And Policy