SEVERE MITRAL REGURGITATION AFTER PMBV? COMPARISON BETWEEN INOUE AND MULTI-TRACK TECHNIQUES

Authors

  • Faiza Farooq National Institute of Cardiovascular Diseases, Karachi
  • Ali Ammar National Institute of Cardiovascular Diseases, Karachi
  • Iram Jehan Balouch National Institute of Cardiovascular Diseases, Hyderabad, Pakistan
  • Ayaz Mir National Institute of Cardiovascular Diseases, Karachi
  • Atif Sher Muhammad National Institute of Cardiovascular Diseases, Karachi
  • Syed Alishan ul Haq Peshawar Institute of Cardiology, Peshawar, Pakistan
  • Tahir Saghir National Institute of Cardiovascular Diseases, Karachi
  • Tariq Ashraf Karachi Institute of Heart Diseases, Karachi, Pakistan
  • Jawaid Akbar Sial National Institute of Cardiovascular Diseases, Karachi
  • Naveed Ullah Khan National Institute of Cardiovascular Diseases, Karachi

DOI:

https://doi.org/10.47144/phj.v54i4.2133

Abstract

Objectives: To compare the frequency of severe mitral regurgitation after percutaneous mitral balloon valvuloplasty (PMBV) via Inoue balloon and multi-track balloon technique in our population.

Methodology: In this retrospective observational study which was conducted at a tertiary care cardiac center of Karachi, Pakistan between 2015 and 2020 on Hospital registry of PMBV patients. Data were categorized in to two groups, Inoue balloon or multi-track balloon technique. Post procedure echocardiographic and catheterization parameters and in-hospital outcomes and complications, including severe MR, were compared between two groups.

Results: Out of 470 PMBV procedures, 286 (60.9%) were performed with multi-track and 184 (39.1%) with Inoue balloon. Improvement in mitral value area was significantly higher with multi-track as compared to Inoue balloon (0.66±0.31 cm2 vs. 0.56±0.29 cm2; p<0.001). Severe MR was not significant, 3.5% (10/286) vs. 4.3% (8/184); p=0.639 for multi-track and Inoue balloon. One patient in Inoue balloon group and two patients in multi-track group required emergency valve surgery. Stroke was observed in two patients of multi-track group and two patients from the same group developed tamponade. No in-hospital mortality was observed.

Conclusion: Post-procedure severe MR is a significant and frequent complication. Rate of post procedure severe MR are similar for PMBV via Inoue balloon and multi-track balloon. Both methods are equally effective with equal success rate.

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Published

2022-01-08

How to Cite

1.
Farooq F, Ammar A, Balouch IJ, Mir A, Muhammad AS, Haq SA ul, Saghir T, Ashraf T, Sial JA, Khan NU. SEVERE MITRAL REGURGITATION AFTER PMBV? COMPARISON BETWEEN INOUE AND MULTI-TRACK TECHNIQUES. Pak Heart J [Internet]. 2022Jan.8 [cited 2024Nov.23];54(4):333-8. Available from: https://pakheartjournal.com/index.php/pk/article/view/2133

Issue

Vol. 54 No. 4 (2021): Pakistan Heart Journal

Section

Original Article

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