The role of three dimensional transesophageal echocardiography novel-score in the success of redo percutaneous balloon mitral valvuloplasty

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dc.authorid0000-0002-4607-5724
dc.contributor.authorMemiç Sancar, Kadriye
dc.contributor.authorGüler, Gamze Babur
dc.contributor.authorTanboğa, Halil İbrahim
dc.contributor.authorDemir, Ali Rıza
dc.contributor.authorŞahin, Ahmet Anıl
dc.contributor.authorTaşbulak, Ömer
dc.contributor.authorTükenmez Karakurt, Seda
dc.contributor.authorAktemur, Tuğba
dc.contributor.authorAvcı, Yalçın
dc.contributor.authorBulut, Ümit
dc.contributor.authorTekin, Meltem
dc.contributor.authorGüler, Ekrem
dc.contributor.authorKalkan, Ali Kemal
dc.contributor.authorErtürk, Mehmet
dc.date.accessioned2023-01-18T09:22:38Z
dc.date.available2023-01-18T09:22:38Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractMitral valve commissure evaluation is known to be important in the success of percutaneous balloon mitral valvuloplasty (PBMV) and Wilkins score (WS) is used in clinical practice. In our study, we aimed to determine whether WS in redo PBMV is sufficient in the success of procedure and additionally we have evaluated a novel scoring system including three dimensional (3D) transesophageal echocardiography (TEE) of the mitral valve structure before redo PBMV in terms of success of the procedure. Fifty patients who underwent redo PBMV were included in the study. The patients were divided into two groups according to the success of the Redo PBMV procedure which was defined as post-procedural MVA ? 1.5 cm2 and post-procedural mitral regurgitation less than moderate by echocardiographic evaluation after PBMV. A novel score based on 3D TEE findings was created by analyzing the images recorded before Redo PBMV and by evaluating the mitral commissure and calcification. The role of traditional WS and novel score in the success of the procedure were investigated. In the study group, 36 patients (72%) had successful redo PBMV procedure. WS was 8 (IQR 7–9) and novel 3D TEE score was found 4 (IQR 3–4) in the whole study group. While no statistically significant relationship was found between WS and procedural success (p = 0.187), a statistically significant relationship was found between novel 3D TEE score and procedural success (p = 0.042). Specifically, the procedural successes rate was > 90% when novel 3D TEE score was < 4. The novel 3D TEE score might be an informative scoring system in the selection of suitable patients for successful redo PBMV, especially in patients who are considered for surgery due to the high WS.
dc.identifier.citationMemiç Sancar, K., Güler, G. B., Tanboğa, H. İ., Demir, A. R., Şahin, A. A., Taşbulak, Ö. ... Ertürk, M. (2022). The role of three dimensional transesophageal echocardiography novel-score in the success of redo percutaneous balloon mitral valvuloplasty. International Journal of Cardiovascular Imaging, 38(3), 621-629. https://dx.doi.org/10.1007/s10554-021-02452-4
dc.identifier.doi10.1007/s10554-021-02452-4
dc.identifier.endpage629
dc.identifier.issn1569-5794
dc.identifier.issn1875-8312
dc.identifier.issue3
dc.identifier.pmid34689249
dc.identifier.scopus2-s2.0-85117771228
dc.identifier.scopusqualityQ2
dc.identifier.startpage621
dc.identifier.urihttps://dx.doi.org/10.1007/s10554-021-02452-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10326
dc.identifier.volume38
dc.identifier.wos000710373700001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGüler, Ekrem
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofInternational Journal of Cardiovascular Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBalloon Mitral Valvuloplasty
dc.subjectCommissural Calcification
dc.subjectCommissural Fusion
dc.subjectTransesophageal Echocardiography
dc.subjectWilkins Score
dc.titleThe role of three dimensional transesophageal echocardiography novel-score in the success of redo percutaneous balloon mitral valvuloplasty
dc.typeArticle

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