PMID- 15789389
OWN - NLM
STAT- MEDLINE
DCOM- 20050804
LR  - 20161124
IS  - 1522-1946 (Print)
IS  - 1522-1946 (Linking)
VI  - 64
IP  - 4
DP  - 2005 Apr
TI  - Intermediate-term results of percutaneous transvenous mitral commissurotomy in 
      children less than 12 years of age.
PG  - 487-90
AB  - The objectives of this study were to review the efficacy of percutaneous 
      transvenous mitral commissurotomy (PTMC) in young children less than 12 years of 
      age and to provide intermediate-term follow-up data. There is a paucity of 
      information regarding the long-term efficacy of PTMC done in children less than 
      12 years of age. The data of 100 consecutive children less than 12 years of age 
      (mean, 11.1 +/- 1.2 years) who underwent PTMC using Inoue balloon were analyzed 
      retrospectively. Serial clinical and echocardiographic follow-up information of 
      more than 6 months was available in 94 patients. The procedure was successful in 
      94 patients. The mean calculated mitral valve area (MVA) increased from 0.72 0.14 
      to 1.7 0.35 cm(2) (P 0.0001). Echocardiographic restenosis (MVA < or = 1 cm(2) or 
      > 50% gain loss) occurred in 14 of 94 patients (16%) over a mean follow-up of 
      34.4 25.9 (range, 2-115) months. The improvement in New York Heart Association 
      (NYHA) functional class was maintained in most patients (from a mean of 2.87 0.5 
      pre-PTMC to 1.42 0.6 at follow-up). Seven out of 14 patients with restenosis 
      underwent a re-PTMC. The actuarial rate of good functional status (survival, no 
      repeat interventions, and NYHA class 1 or 2) at 100 months was 75.4% 8.7%. PTMC 
      provides excellent intermediate-term palliation even in young children with 
      rheumatic mitral stenosis.
CI  - Copyright 2005 Wiley-Liss, Inc.
FAU - Kothari, Shyam S
AU  - Kothari SS
AD  - Department of Cardiology, All India Institute of Medical Sciences, New Delhi. 
      kothariss@vsnl.com
FAU - Ramakrishnan, S
AU  - Ramakrishnan S
FAU - Kumar, Chanakya K
AU  - Kumar CK
FAU - Juneja, Rajnish
AU  - Juneja R
FAU - Yadav, Rakesh
AU  - Yadav R
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
CIN - Catheter Cardiovasc Interv. 2005 Apr;64(4):491. PMID: 15789383
MH  - Age Factors
MH  - Catheterization/*methods
MH  - Chi-Square Distribution
MH  - Child
MH  - Cohort Studies
MH  - Echocardiography, Doppler
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mitral Valve Stenosis/diagnostic imaging/*etiology/mortality/*therapy
MH  - *Palliative Care
MH  - Probability
MH  - Prospective Studies
MH  - Recurrence
MH  - Rheumatic Heart Disease/*complications/diagnosis/mortality
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2005/03/25 09:00
MHDA- 2005/08/05 09:00
CRDT- 2005/03/25 09:00
PHST- 2005/03/25 09:00 [pubmed]
PHST- 2005/08/05 09:00 [medline]
PHST- 2005/03/25 09:00 [entrez]
AID - 10.1002/ccd.20317 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2005 Apr;64(4):487-90. doi: 10.1002/ccd.20317.