Cardiology and Cardiovascular Research

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Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia

Received: 23 July 2019    Accepted: 18 August 2019    Published: 04 September 2019
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Abstract

Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.

DOI 10.11648/j.ccr.20190303.13
Published in Cardiology and Cardiovascular Research (Volume 3, Issue 3, September 2019)
Page(s) 55-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Percutaneous Mitral Balloon Commissurotomy, Predictors, Cardiac Center Ethiopia

References
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Author Information
  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Cardiac Center of Ethiopia, Addis Ababa, Ethiopia

  • Department of Public Health Nutrition, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia

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    Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. (2019). Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiology and Cardiovascular Research, 3(3), 55-61. https://doi.org/10.11648/j.ccr.20190303.13

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    Mohammed Bedru Sebah; Kefelegn Dejene Tadesse; Ali Dawed Mohammed; Fekede Agwar Debel; Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol. Cardiovasc. Res. 2019, 3(3), 55-61. doi: 10.11648/j.ccr.20190303.13

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    AMA Style

    Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol Cardiovasc Res. 2019;3(3):55-61. doi: 10.11648/j.ccr.20190303.13

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  • @article{10.11648/j.ccr.20190303.13,
      author = {Mohammed Bedru Sebah and Kefelegn Dejene Tadesse and Ali Dawed Mohammed and Fekede Agwar Debel and Shibikom Tamirat Agonafir and Azene Dessie Mengistu and Jemal Haidar Ali},
      title = {Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia},
      journal = {Cardiology and Cardiovascular Research},
      volume = {3},
      number = {3},
      pages = {55-61},
      doi = {10.11648/j.ccr.20190303.13},
      url = {https://doi.org/10.11648/j.ccr.20190303.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ccr.20190303.13},
      abstract = {Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.},
     year = {2019}
    }
    

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    T1  - Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia
    AU  - Mohammed Bedru Sebah
    AU  - Kefelegn Dejene Tadesse
    AU  - Ali Dawed Mohammed
    AU  - Fekede Agwar Debel
    AU  - Shibikom Tamirat Agonafir
    AU  - Azene Dessie Mengistu
    AU  - Jemal Haidar Ali
    Y1  - 2019/09/04
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ccr.20190303.13
    DO  - 10.11648/j.ccr.20190303.13
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
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    EP  - 61
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20190303.13
    AB  - Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.
    VL  - 3
    IS  - 3
    ER  - 

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