Bibliographic Details
| Title: |
Additive value of 3D-echo in prediction of immediate outcome after percutaneous balloon mitral valvuloplasty |
| Authors: |
Hazem M. A. Farrag, Amr M. Setouhi, Mustafa O. El-Mokadem, Mustafa A. El-Swasany, Khalid S. Mahmoud, Hesham B. Mahmoud, Alaa M. Ibrahim |
| Source: |
The Egyptian Heart Journal, Vol 71, Iss 1, Pp 1-9 (2019) |
| Publisher Information: |
SpringerOpen, 2019. |
| Publication Year: |
2019 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Mitral stenosis, Percutaneous balloon mitral valvuloplasty, Three-dimensional echocardiography, Mitral valve score, Multi-track balloon, Inoue balloon, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Abstract Background Results of percutaneous balloon mitral valvuloplasty (BMV) are basically dependent on suitable patient selection. Currently used two-dimensional (2D) echocardiography (2DE) scores have many limitations. Three-dimensional (3D) echocardiography (3DE)-based scores were developed for better patient selection and outcome prediction. We aimed to compare between 3D-Anwar and 2D-Wilkins scores in mitral assessment for BMV, and investigate the additive value of 3DE in prediction of immediate post-procedural outcome. Fifty patients with rheumatic mitral stenosis and candidates for BMV were included. Patients were subjected to 2D- and real-time 3D-transthoracic echocardiography (TTE) before and immediately after BMV for assessing MV area (MVA), 2D-Wilkins and 3D-Anwar score, commissural splitting, and mitral regurgitation (MR). Transesophageal echocardiography (TEE) was also undertaken immediately before and intra-procedural. Percutaneous BMV was performed by either multi-track or Inoue balloon technique. Results The 2DE underestimated post-procedural MVA than 3DE (p = 0.008). Patients with post-procedural suboptimal MVA or significant MR had higher 3D-Anwar score compared to 2D-Wilkins score (p = 0.008 and p = 0.03 respectively). The 3D-Anwar score showed a negative correlation with post-procedural MVA (r = − 0.48, p = 0.001). Receiver operating characteristic (ROC) curve analysis for both scores revealed superior prediction of suboptimal results by 3D-Anwar score (p < 0.0001). The 3DE showed better post-procedural posterior-commissural splitting than 2DE (p = 0.004). Results of both multi-track and Inoue balloon were comparable except for favorable posterior-commissural splitting by multi-track balloon (p = 0.04). Conclusion The 3DE gave valuable additive data before BMV that may predict immediate post-procedural outcome and suboptimal results. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2090-911X |
| Relation: |
http://link.springer.com/article/10.1186/s43044-019-0019-x; https://doaj.org/toc/2090-911X |
| DOI: |
10.1186/s43044-019-0019-x |
| Access URL: |
https://doaj.org/article/f1019d3a1ced4a1096081b910929355f |
| Accession Number: |
edsdoj.f1019d3a1ced4a1096081b910929355f |
| Database: |
Directory of Open Access Journals |
