经皮经间隔球囊二尖瓣成形术：30例中国患者的经验

Percutaneous transseptal balloon mitral valvuloplasty: the Chinese experience in 30 patients.

作者信息

Chen C R, Lo Z X, Huang Z D, Inoue K J, Cheng T O

机构信息

Department of Cardiology, Guangdong Provincial Cardiovascular Institute, Guangzhou, China.

出版信息

Am Heart J. 1988 May;115(5):937-47. doi: 10.1016/0002-8703(88)90061-0.

DOI:10.1016/0002-8703(88)90061-0

PMID:3364350

Abstract

The results of percutaneous transseptal balloon mitral valvuloplasty (PTBMV) in 30 Chinese patients with rheumatic mitral stenosis are reported. PTBMV with the Inoue balloon catheter was successfully performed in 27 patients without any significant complications. The mean left atrial pressure decreased from 20.15 +/- 6.75 to 7.06 +/- 4.54 mm Hg (p less than 0.001); mitral valve gradient decreased from 16.86 +/- 6.37 to 2.68 +/- 2.96 mm Hg (p less than 0.001); pulmonary systolic pressure decreased from 48.38 +/- 17.57 to 30.04 +/- 11.49 mm Hg (p less than 0.001); mitral valve area increased from 1.27 +/- 0.31 to 2.13 +/- 0.43 cm2 (p less than 0.001). Results of follow-up examinations at 8 to 20 months showed that both subjective and objective improvement was well maintained. PTBMV is a highly effective and safe nonsurgical method of relieving mitral stenosis.

摘要

报告了30例中国风湿性二尖瓣狭窄患者经皮经间隔球囊二尖瓣成形术（PTBMV）的结果。使用Inoue球囊导管对27例患者成功实施了PTBMV，无任何严重并发症。平均左心房压力从20.15±6.75降至7.06±4.54 mmHg（p<0.001）；二尖瓣压差从16.86±6.37降至2.68±2.96 mmHg（p<0.001）；肺动脉收缩压从48.38±17.57降至30.04±11.49 mmHg（p<0.001）；二尖瓣面积从1.27±0.31增加至2.13±0.43 cm²（p<0.001）。8至20个月的随访结果显示，主观和客观改善均得到良好维持。PTBMV是一种缓解二尖瓣狭窄的高效、安全的非手术方法。