PMID- 7814176
OWN - NLM
STAT- MEDLINE
DCOM- 19950203
LR  - 20190816
IS  - 0167-5273 (Print)
IS  - 0167-5273 (Linking)
VI  - 46
IP  - 3
DP  - 1994 Oct
TI  - Percutaneous transvenous mitral commissurotomy in 390 cases using the Inoue 
      balloon catheter.
PG  - 223-7
AB  - Percutaneous transvenous mitral commissurotomy using the Inoue technique was 
      performed in 390 cases of rheumatic mitral stenosis. There were 220 (56%) females 
      and 170 (44%) males. The age range was 9-47 years [mean +/- S.D., 26 +/- 14) and 
      all were symptomatic (New York Heart Association (NYHA) class II in 23 (6%); 
      class III in 280 (72%); and class IV in 87 (22%) patients]. Mitral valve area 
      increased from 0.6 +/- 0.4 to 2 +/- 0.7 cm2, mean transmitral gradients decreased 
      from 26 +/- 8 to 5 +/- 3 mmHg and cardiac index improved from 2.2 +/- 0.8 to 3.0 
      +/- 0.7 l/min/m2 (P < 0.001). There were no procedure related deaths. An increase 
      in mitral regurgitation by one grade was observed in 40 (10%) cases, with 8 (2%) 
      cases developing severe mitral regurgitation. Oximetry evidence of left to right 
      atrial shunt (Qp/Qs > or = 1.5:1) was observed in 11 (3%) patients. Four (1.0%) 
      patients developed cardiac tamponade, none had thromboembolism. Follow-up of 290 
      cases at 26 +/- 5 weeks showed persistent improvement in clinical (NYHA class I 
      in 98%) and echocardiographic mitral valve area. Percutaneous transvenous mitral 
      commissurotomy is safe, easy to perform and provides excellent clinical and 
      hemodynamic benefit in the majority of cases.
FAU - Bahl, V K
AU  - Bahl VK
AD  - Department of Cardiology, All India Institute of Medical Sciences, New Delhi.
FAU - Chandra, S
AU  - Chandra S
FAU - Talwar, K K
AU  - Talwar KK
FAU - Kaul, U
AU  - Kaul U
FAU - Sharma, S
AU  - Sharma S
FAU - Wasir, H S
AU  - Wasir HS
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - *Balloon Occlusion
MH  - Catheterization/*instrumentation/statistics & numerical data
MH  - Female
MH  - Follow-Up Studies
MH  - Hemodynamics/physiology
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Mitral Valve Stenosis/epidemiology/physiopathology/*therapy
MH  - Rheumatic Heart Disease/epidemiology/physiopathology/*therapy
MH  - Time Factors
EDAT- 1994/10/01 00:00
MHDA- 1994/10/01 00:01
CRDT- 1994/10/01 00:00
PHST- 1994/10/01 00:00 [pubmed]
PHST- 1994/10/01 00:01 [medline]
PHST- 1994/10/01 00:00 [entrez]
AID - 0167-5273(94)90244-5 [pii]
AID - 10.1016/0167-5273(94)90244-5 [doi]
PST - ppublish
SO  - Int J Cardiol. 1994 Oct;46(3):223-7. doi: 10.1016/0167-5273(94)90244-5.