Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty Based On Echocardiographic And Catheterization Criteria
Abstract
Background. Balloon Mitral Valvuloplasty (BMV) can provides effectively the mechanical obstruction relief in mitral stenosis. Achieving a successful BMV based on echocardiographic criteria potentially increase mitral regur-gitation complication. In addition, long-term clinical outcome of a successful BMV based on catheterization criteria has not been widely elaborated. This study aims to compare the long-term clinical outcome of BMV based on the echocardiographic criteria and the catheterization criteria.Methods. A cross sectional study was conducted in mitral stenosis patients after BMV procedure. Patients was divided into 2 groups based on suc-cessful echocardiographic criteria (MVA = 1,5 cm 2vs MVA < 1,5 cm2).
The long-term clinical outcome was evaluated using 6 minute walk test and SF-36 questionnaire.
Results. Twenty two female patients were fulfilling study criteria with aged 38,8 ±12,0 years and 63,6% in atrial fibrillation. The characteristic between two groups were not significantly different. Six minute walk test results was not significantly different between two groups (6,6 ±0,8 vs 7,3±1,0 p = 0,103). SF-36 physical components summary was not significantly different between two groups (43,0±7,5% vs 42,1±6,7 p = 0,770). Also, SF-36 mental components summary was not significantly different between two groups (50,7±5,9 vs 53,9±8,9 p = 0,338).
Conclusion. There was no significantly different of long-term clinical out-come between the echocardiographic criteria of successful BMV and the catheterization criteria of successful BMV.
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References
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Ben Farhat M, Ayari M, Maatouk F, Betbout F, Gamra H, Jarra M, dkk. Percutaneous balloon versus surgical closed and open mitral commissurotomy: seven-year follow-up results of a randomized trial. Circulation. 1998;97:245–250.
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Diker E, Aydogdu S, Ozdemir M, Kural T, Polat K, Cehreli S, dkk. Pravalence and Pradictors of Atrial Fibrilation in Rheumatic Valvular Heart Disease. Am J Cardiol. 1996;77:96-8.
Fatkin D, Roy P, Morgan JJ, dkk. Percutaneous balloon mitral valvotomy with the Inoue single-balloon catheter : commissural morphology as a determinant of outcome. J Am Coll Cardiol. 1993;21:390–7.
Iung B, Garbarz E, Doutrelant L, dkk. Late results of percutane-ous mitral commissurotomy for calcific mitral stenosis. Am J Cardiol. 2000;85:1308–14.
Sutaria N, Northridge DB, Shaw TRD. Significance of com-missural calcification on outcome of mitral balloon valvotomy. Heart. 2000;84:398–402.
Harikrishnan S, Chandrasekharan CK. Pulmonary Hyperten-sion in Rheumatic Heart Disease. PVRI REVIEW. 2009; 1 : 13-9.
Messner-Pellenc P, Ximenes C, Leclercq F, Mercier J, Grolleau R, Prafaut C. Exercise Tolerance in Patients With Mitral Stenosis Before and After Percutaneous Mitral Valvuloplasty. Role of Lung Diffusing Capacity Limitation?. Eur Heart J. 1996; 17: 595-605.
Douard H, Chevalier L, Labbe L, Choussat A, Broustet JP. Physical Training Improves Exercise Capacity in Patients With Mitral Stenosis After Balloon Valvuloplasty. Eur Heart J. 1997;18:464-9.
Ware JE. SF-36 Health Survey Update. Diunduh dari: http://www.sf-36.org/tools/sf36.shtml, tanggal 5 Oktober 2009.
Yates LA, Peverill RE, Harper RW, Smolich JJ. Usefulness of Short Term Symptomatic Status as a Pradictor of Mild and Long Term Outcome After Balloon Mitral Valvuloplasty. Am J Cardiol. 2001;87:912-6.
Mohaved MR, Kashani MA, Kasravi B, Saito Y. Increased Pravalence of Mitral Stenosis in Women. J Am Soc Echocardiogr. 2006;19:911-13.
Chiang CW, Kuo CT, Chen WJ, Lee CB, Hsu TS. Comparisons Between Female and Male Patients With Mitral Stenosis. Br Heart J. 1994; 72: 567-70.
Carabello BA. Modern Management of Mitral Stenosis. Circula-tion. 2005; 112: 432-7.5. Reyes VP, Raju BS, Wynne J, Stephenson LW, Raju R, Fromm BS, dkk. Percutaneous balloon valvuloplasty compared with open surgical commissurotomy for mitral stenosis. N Engl J Med. 1994;331:961–967.
Ben Farhat M, Ayari M, Maatouk F, Betbout F, Gamra H, Jarra M, dkk. Percutaneous balloon versus surgical closed and open mitral commissurotomy: seven-year follow-up results of a randomized trial. Circulation. 1998;97:245–250.
Cardoso LF, Grinberg M, Rati MA, Pomerantzeff PM, Medeiros CC,Tarasoutchi F, dkk. Comparison between percutaneous balloon valvuloplasty and open commissurotomy for mitral stenosis: a prospective and randomized study. Cardiology. 2002;98:186 –190.
Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD, Gaasch WH, dkk. 2008 Focused Update Incorpo-rated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. J Am Coll Cardiol. 2008;52;e1-e142
Fawzy ME, Hegazy H, Shoukri M, el Shaer F, ElDali A, Al-Amri M. Longterm Clinical and Echocardiographic Results After Suc-cessful Mitral Balloon Valvotomy and Pradictors of Longterm Outcome. Eur Heart J. 2005; 26: 1647-52.
Hernandez R, Banuelos C, Alfonso F, Goicolea J, Ortiz AF, Escanned J, dkk. Long-term Clinical and Echocardiographic Follow-Up After Percutaneous Mitral Valvuloplasty With the Inoue Balloon. Circulation. 1999; 99: 1580-6.
Orrange SE, Kawanishi DT, Lopez BM, Curry SM, Rahimtoola SH. Actuarial Outcome After Catheter Balloon Commis-surotomy in Patients With Mitral Stenosis. Circulation. 1997; 95:382-9.
Kusmana D, Setianto B, Tobing DPL, Busro PW, Nazar N, Hendrayati H (eds). Standar Pelayanan Medik RS Jantung dan Pembuluh Darah Harapan Kita, Jakarta 2003.
Kim MJ, Song JK, Song JM, Kang DH, Kim YH, Lee CW, dkk. Long Term Outcomes of Significant Mitral Regurgitation After Percutaneous Mitral Valvuloplasty. Circulation. 2006;114:2815-22.
Siahaan IH. Hipertensi Pulmonal pada Penderita Stenosis Mitral dan Faktor yang Berhubungan dengan Menetapnya Hipertensi Pulmonal Berat Segera Setelah Balloon Mitral Valvuloplasty. Te-sis Departemen Kardiologi dan Kedokteran Vaskular. 2009.
Fawzy M E, Stefadouros M A, Hegazy H, Shaer F E, Chaudhary M A, Fadley F A. Long Term Clinical And Echocardiographic Results of Mitral Balloon Valvotomy in Children and Adoles-cents. Heart. 2005; 91: 743-8.
Ramondo A, Napodano M, Fraccaro C, Razzolini R, Tarantini G, Iliceto S. Relation of Patient Age to Outcome of Percutane-ous Mitral Valvuloplasty. Am J Cardiol. 2006;98:1493-1500.
Palacios IF, Sanchez PL, Harrell Lc, Weyman AE, Block PC. Which Patients Benefit From Percutaneous Mitral Valvulo-plasty?. Circulation2002; 105: 1465-71.
Cannon CR, Nishimura RA, Reeder GS, dkk. Echocardio-graphic assessment of commissural calcium: a simple pradictor of outcome after percutaneous mitral balloon valvotomy. J Am Coll Cardiol. 1997;29:175–80.
Padial LR, Freitas N, Sagie A, Newell JB, Weyman AE, Levine RA, dkk. Echocardiography can predict which patients will develop severe mitral regurgitation after percutaneous mitral valvulotomy. J Am Coll Cardiol 1996; 27:1225-31.
Mehta D, Ghosh J. Management of Atrial Fibrillation with Ref-erence to Valvular Heart Disease. Indian Heart J. 2002;54:312-20.
Diker E, Aydogdu S, Ozdemir M, Kural T, Polat K, Cehreli S, dkk. Pravalence and Pradictors of Atrial Fibrilation in Rheumatic Valvular Heart Disease. Am J Cardiol. 1996;77:96-8.
Fatkin D, Roy P, Morgan JJ, dkk. Percutaneous balloon mitral valvotomy with the Inoue single-balloon catheter : commissural morphology as a determinant of outcome. J Am Coll Cardiol. 1993;21:390–7.
Iung B, Garbarz E, Doutrelant L, dkk. Late results of percutane-ous mitral commissurotomy for calcific mitral stenosis. Am J Cardiol. 2000;85:1308–14.
Sutaria N, Northridge DB, Shaw TRD. Significance of com-missural calcification on outcome of mitral balloon valvotomy. Heart. 2000;84:398–402.
Harikrishnan S, Chandrasekharan CK. Pulmonary Hyperten-sion in Rheumatic Heart Disease. PVRI REVIEW. 2009; 1 : 13-9.
Messner-Pellenc P, Ximenes C, Leclercq F, Mercier J, Grolleau R, Prafaut C. Exercise Tolerance in Patients With Mitral Stenosis Before and After Percutaneous Mitral Valvuloplasty. Role of Lung Diffusing Capacity Limitation?. Eur Heart J. 1996; 17: 595-605.
Douard H, Chevalier L, Labbe L, Choussat A, Broustet JP. Physical Training Improves Exercise Capacity in Patients With Mitral Stenosis After Balloon Valvuloplasty. Eur Heart J. 1997;18:464-9.
Ware JE. SF-36 Health Survey Update. Diunduh dari: http://www.sf-36.org/tools/sf36.shtml, tanggal 5 Oktober 2009.
Yates LA, Peverill RE, Harper RW, Smolich JJ. Usefulness of Short Term Symptomatic Status as a Pradictor of Mild and Long Term Outcome After Balloon Mitral Valvuloplasty. Am J Cardiol. 2001;87:912-6.
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How to Cite
Widowati, D., Yuniadi, Y., & Hersunarti, N. (1). Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty Based On Echocardiographic And Catheterization Criteria. Indonesian Journal of Cardiology, 31(1), 28-38. https://doi.org/10.30701/ijc.v31i1.155
Section
Clinical Research
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