Babic U U, Grujicic S, Popovic Z, Djurisic Z, Pejcic P, Vucinic M
Cardiovascular Centre Dedinje, Beograd, Yugoslavia.
Br Heart J. 1992 Feb;67(2):185-9. doi: 10.1136/hrt.67.2.185.
To examine the value of transarterial balloon dilatation of the mitral valve for treatment of patients with mitral stenosis over a period of five years.
Analysis of patients' functional state, and haemodynamic and echocardiographic variables, before and immediately after the procedure and during a follow up of up to five years.
A cardiovascular centre in Belgrade, Yugoslavia.
Two hundred and ninety four patients who underwent percutaneous transarterial dilatation of the mitral valve between February 1985 and February 1990.
Mean mitral valve area was enlarged by 109%. Complications included death (0.7%), severe mitral insufficiency (2.3%), mild mitral insufficiency (9.9%), cerebral embolism (2%), and injury to the femoral artery (2%). Two more patients died at two and 11 months after the procedure. Late cardiac surgery was needed in eight patients (mitral insufficiency in three, restenosis in three, thrombus in one, and endocarditis in one. Restenosis occurred in seven patients. Four of these underwent repeat dilatation and three had surgery. Improvement of symptoms was seen in 94% of patients during the follow up.
Transarterial balloon dilatation of the mitral valve gave good results with acceptable morbidity and mortality and had some advantages over the anterograde approach.
探讨经动脉球囊二尖瓣扩张术治疗二尖瓣狭窄患者五年的价值。
分析患者在手术前、手术后即刻以及长达五年随访期间的功能状态、血流动力学和超声心动图变量。
南斯拉夫贝尔格莱德的一个心血管中心。
1985年2月至1990年2月期间接受经皮经动脉二尖瓣扩张术的294例患者。
二尖瓣平均面积扩大了109%。并发症包括死亡（0.7%）、严重二尖瓣关闭不全（2.3%）、轻度二尖瓣关闭不全（9.9%）、脑栓塞（2%）和股动脉损伤（2%）。另外两名患者在术后2个月和11个月死亡。8例患者需要进行晚期心脏手术（3例二尖瓣关闭不全、3例再狭窄、1例血栓形成、1例心内膜炎）。7例患者发生再狭窄。其中4例接受了重复扩张，3例接受了手术。随访期间94%的患者症状改善。
经动脉球囊二尖瓣扩张术效果良好，发病率和死亡率可接受，与顺行法相比有一些优势。
