Acute outcome of percutaneous transvenous mitral commissurotomy using the Inoue (IN) and double-balloon (DB) technique.
 
Reference
No. of
Tech
Success
MVA (cm2)
Complications (%)
 
Pts.
 
(%)
Pre
Post
Death
TPN
MR
ASD
Emb
Hung [8]
219
IN
99
1.0
2.0
0.5
0
6
15
1.4
                     
Bassand [9]
232
IN(71)
100
1.1
1.9
0
0
5
1
0
   
DB(161)
98
1.0
2.0
0
3
4
3
9
                     
Abdullah [10]
120
IN(60)
97
0.9
1.9
0
1
3
0
0
   
DB(60)
95
0.9
1.9
0
1
8
0
0
                     
NHLBI [11]
591
DB
100
1.0
2.0
3
4
14
10
4
                     
Kang [12]*
302
IN(152)
98
0.9
1.8
0.006
0
0.06
N/A
0
   
DB(150)
98
0.9
1.9
0
0
0.06
N/A
0
                     
Lau [13]
105
IN
100
0.8
1.7
0
0
0
N/A
0
                     
Iung [14]
1514
IN/DB
98.6
1.0
1.9
0.4
0.3
3.4
N/A
0.3
                     
    * Coming Soon Hung/Lau [15]
799
IN
99.5
1.0
1.8
0
0.1
4.4
8.3
1.4
  ASD, significant atrial septal defect defined by oximetry; Emb, systemic embolism; MR, significant angiographic mitral regurgitation defined as an increase in severity of >= 2+ MR or >= 3+ final MR; MVA, mitral valve area; NA, no data available; NHLBI, National Heart, Lung, and Blood Institute Registry; Pre, before BMV; Post, after BMV; Success, procedure completed without cardiac tamponade or death; Tech, technique; Tpn, tamponade.

*Randomized trial comparing Inoue vs. double-balloon techniques.
 
© 2002-2003 Dr. Jui-Sung Hung. All Rights Reserved.
Questions or Comments? Email shung@pipeline.com.