Echocardiography-guided balloon mitral valvotomy: Transesophageal echocardiography versus intracardiac echocardiography

Cheng Wen Chiang, Han Luen Huang, Yu Shien Ko

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

Background and aim of the study: Although balloon mitral valvotomy (BMV) can be guided by on-line transesophageal echocardiography (TEE) or intracardiac echocardiography, few reports have been made comparing these methods. The study aim was to compare on-line TEE and on-line intracardiac echocardiography in the guidance of BMV. Methods: Fifty-five consecutive patients with significant mitral stenosis (mitral area ≤.1.5 cm2), but without significant mitral regurgitation (≤Sellers grade 2) or left atrial cavitary thrombus, underwent BMV. Patients were prospectively randomized to two groups: group A (n = 28) received on-line guidance by multiplane TEE, while group B (n = 27) received on-line guidance by intracardiac echocardiography. Pre-procedural and post-procedural data were compared between these groups. Results: There were no significant differences in baseline data and procedural outcomes. On-line TEE was found to be of great help for septal puncture, immediate assessment of results, and the prevention and detection of complications. On-line intracardiac echocardiography also aided in septal puncture and was better tolerated by patients, but had less imaging capabilities, was more expensive, required a second venous access, and on occasion interfered with manipulation of the puncture and balloon catheters. Conclusion: Although both TEE and intracardiac echocardiography were safe and effective for on-line guidance of BMV, TEE provided better imaging capabilities.
原文英語
頁(從 - 到)596-601
頁數6
期刊Journal of Heart Valve Disease
16
發行號6
出版狀態已發佈 - 十一月 2007

指紋

Balloon Valvuloplasty
Transesophageal Echocardiography
Echocardiography
Punctures
Mitral Valve Stenosis
Mitral Valve Insufficiency
Thrombosis
Catheters

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

引用此文

Echocardiography-guided balloon mitral valvotomy : Transesophageal echocardiography versus intracardiac echocardiography. / Chiang, Cheng Wen; Huang, Han Luen; Ko, Yu Shien.

於: Journal of Heart Valve Disease, 卷 16, 編號 6, 11.2007, p. 596-601.

研究成果: 雜誌貢獻文章

Chiang, Cheng Wen ; Huang, Han Luen ; Ko, Yu Shien. / Echocardiography-guided balloon mitral valvotomy : Transesophageal echocardiography versus intracardiac echocardiography. 於: Journal of Heart Valve Disease. 2007 ; 卷 16, 編號 6. 頁 596-601.
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