Comparison of Long-Term(Over 10 Years) Outcome of Percutaneous Mitral Balloon Valvuloplotomy between Moderate and Severe Mitral Stenosis
Korean Circulation Journal
; : 208-213, 2006.
Article
en Ko
| WPRIM
| ID: wpr-36302
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES: Percutaneous mitral balloon valvuloplotomy (PMV) is a safe and effective procedure for the treatment of mitral stenosis (MS); however, its long-term results according to the severity of MS remain unknown. The aim of this study was to compare the long-term results of PMV between moderate and severe MS. SUBJECTS AND METHODS: The immediate and long-term outcomes of 786 patients (198 male, mean age; 43 years) who underwent PMV at a single referral center, between 1988 and 2000, were analyzed. The clinical and echocardiographic data were compared between moderate (n=357) and severe MS (n=429). RESULTS: Optimal results were gained in 618 (79%) patients, including 80 and 76% moderate and severe MS cases, respectively (p=0.13). Acute complications occurred in 85 patients (11%), but without significant difference between the two groups. After a mean follow-up period of 94 months (range, 6 to 210 month), the 5 year event-free survival rate was better in moderate (88%) than in severe MS (79%), but the 10 year event-free survival rates were no different (65% vs. 65%). Independent predictors for better prognosis were a lower echo score ( or =1.7 cm2)(p=0.002, HR=0.65), less mitral regurgitation (Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pronóstico
/
Derivación y Consulta
/
Ecocardiografía
/
Estudios de Seguimiento
/
Supervivencia sin Enfermedad
/
Valvuloplastia con Balón
/
Presión Atrial
/
Válvula Mitral
/
Insuficiencia de la Válvula Mitral
/
Estenosis de la Válvula Mitral
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Circulation Journal
Año:
2006
Tipo del documento:
Article
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pronóstico
/
Derivación y Consulta
/
Ecocardiografía
/
Estudios de Seguimiento
/
Supervivencia sin Enfermedad
/
Valvuloplastia con Balón
/
Presión Atrial
/
Válvula Mitral
/
Insuficiencia de la Válvula Mitral
/
Estenosis de la Válvula Mitral
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Circulation Journal
Año:
2006
Tipo del documento:
Article