Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1991-5-9
|
pubmed:abstractText |
Twenty-two percutaneous transluminal balloon valvuloplasty procedures were performed on 21 patients with congenital pulmonary valve stenosis. The peak systolic pressure gradient was immediately reduced from 79.1 +/- 7.4 to 22.2 +/- 1.8 mmHg, (P less than 0.0001) and follow-up cardiac catheterization at 5.3 +/- 0.4 months in 19 patients revealed no further significant change in gradient (23.5 +/- 3.2 mmHg). The best results were obtained when balloons larger than the pulmonary annulus were used, i.e. an immediate residual transvalvular gradient of 22.0 +/- 2.2 mmHg with a balloon/annulus ratio greater than 1, as opposed to 44.2 +/- 5.4 with a balloon/annulus ratio = 1 (P less than 0.001). The angiographically determined cusp thickness of the stenotic pulmonary valves was significantly greater than that of the control group of 24 patients without pulmonary valve stenosis (1.21 +/- 0.09 vs 0.59 +/- 0.02 mmHg, P less than 0.00001). The relationship between this parameter and the residual transvalvular gradient at follow-up was found to be significant (r = 0.77, P less than 0.001). It is concluded that balloon size is a determinant factor in achieving good results with percutaneous balloon valvuloplasty although cusp thickness, a factor to which scant regard has hitherto been paid, also plays a significant role in the residual transvalvular gradient measured at follow-up.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0195-668X
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
12
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
15-23
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:2009887-Adolescent,
pubmed-meshheading:2009887-Age Factors,
pubmed-meshheading:2009887-Analysis of Variance,
pubmed-meshheading:2009887-Balloon Dilation,
pubmed-meshheading:2009887-Child,
pubmed-meshheading:2009887-Child, Preschool,
pubmed-meshheading:2009887-Female,
pubmed-meshheading:2009887-Hemodynamics,
pubmed-meshheading:2009887-Humans,
pubmed-meshheading:2009887-Infant,
pubmed-meshheading:2009887-Infant, Newborn,
pubmed-meshheading:2009887-Male,
pubmed-meshheading:2009887-Pulmonary Valve Stenosis,
pubmed-meshheading:2009887-Regression Analysis,
pubmed-meshheading:2009887-Retrospective Studies,
pubmed-meshheading:2009887-Time Factors
|
pubmed:year |
1991
|
pubmed:articleTitle |
Success determining factors in percutaneous transluminal balloon valvuloplasty of pulmonary valve stenosis.
|
pubmed:affiliation |
Division of Cardiology, Hospital Virgen de las Nieves, Granada, Spain.
|
pubmed:publicationType |
Journal Article
|