Balloon mitral valvuloplasty with bifoil catheter: Immediate and long-term follow-up results

✍ Scribed by Chandra Rath, Pratap ;Prasad Tripathy, Mahendra ;Kumar Das, Nagendra ;Seshagiri Rao, P. ;Deb, Tripti ;Sarat Chandra, K. ;Agarwal, Sanjay ;Dikshit, Vijay ;Sitaram Reddy, B.

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 106 KB
• Volume: 43
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199801)43:1<43::aid-ccd12>3.0.co;2-u

✦ Synopsis

This report documents clinical and hemodynamic benefits of balloon mitral valvuloplasty (BMV) using a bifoil balloon catheter from a single center in 415 consecutive cases of rheumatic mitral stenosis (MS). The procedure was successful in 396 (95.2%) patients, with an increase in mitral valve area (MVA) from 0.82 ؎ 0.35 cm 2 to 2.21 ؎ 0.24 cm 2 (P F 0.001). There were 2 (0.48%) in-hospital deaths, and 6 (1.44%) patients developed acute mitral regurgitation. The procedural and fluroscopy time was reduced significantly from 52 ؎ 11 and 38 ؎ 6 min to 33 ؎ 7 and 19 ؎ 5 min, respectively, after modifications of technique in our last 326 cases.

The bifoil balloon catheter technique is safe and effective, and provides excellent hemodynamic benefits which are sustained at long-term follow-up. This technique should be considered as an addition to the existing armamentarium of interventional cardiologists performing mitral balloon valvuloplasty.