Double loop technique for Percutaneous Transvenous Mitral Commissurotomy

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Atrial Septa1 Puncture Technique in Percutaneous Transvenous Mitral Commissurotomy

Transseptal catheterization is a vital component of percutaneous transvenous mitral commissurotomy. Therefore, a well-executed transseptal catheterization is the key to a safe and successful percutaneous transvenous mitral commissurotomy. Two major problems inherent in atrial septel puncture for percutaneous transvenous mitral cornmissurotomy are cardiac perforation and puncture of an inappropr...

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Percutaneous transvenous mitral commissurotomy in mitral restenosis with situs inversus.

A woman, aged 30 years with situs inversus, dextrocardia and severe rheumatic mitral restenosis was referred to AFIC/NIHD for commissurotomy. A Closed Mitral Valvotomy (CMV) for severe mitral stenosis had already been done 8 years earlier, and her symptoms had reappeared. She was evaluated with transthoracic and transesophageal echocardiography and found to have a mitral valve area of 0.6 cm2, ...

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Percutaneous transvenous mitral commissurotomy in juvenile mitral stenosis.

OBJECTIVE To determine the efficacy and safety of percutaneous transvenous mitral commissurotomy (PTMC), using multi-track double balloon technique in juvenile mitral stenosis. DESIGN Open non-randomised intervention. SETTING Cardiac catheterisation laboratories of The Mater Hospital, The Nairobi Hospital and Kenyatta National Hospital from 1996 to 2001. PATIENTS Forty five consecutive pa...

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Rupture of Accura balloon during percutaneous transvenous mitral commissurotomy

Percutaneous transvenous mitral commissurotomy (PTMC) is one of the treatment modality in the management of rheumatic mitral stenosis. Reuse of sterilized PTMC balloon catheters has been widely practiced in developing countries to bring down procedural cost. PTMC by reused balloons are prone to deform and rupture during procedure. This can cause fatal complications like embolism of air or ballo...

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Percutaneous transhepatic mitral commissurotomy.

A novel, transhepatic approach to mitral valvuloplasty is described in a patient with an inferior vena caval filter. After transhepatic transseptal puncture, an Inoue dilatation catheter was passed through the hepatic parenchyma and across the atrial septum. Balloon mitral valvuloplasty was performed without complications. This approach should be considered when femoral venous access is restric...

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ژورنال

عنوان ژورنال: Indian Heart Journal

سال: 2015

ISSN: 0019-4832

DOI: 10.1016/j.ihj.2015.09.035