Percutaneous mitral valve dilatation with the Multi-Track System.
View/ Open
Date
1999-10Author
Bonhoeffer, P
Esteves, C
Casal, U
Tortoledo, F
Yonga, G
Patel, T
Chisholm, R
Luxereau, P
Ruiz, C
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
We developed the Multi-Track System for percutaneous mitral valvotomy and described the preliminary results in 1995. Here we report the first 100 consecutive cases after the original publication. Two separate balloon catheters are positioned on a single guidewire. The first catheter, with only a distal guidewire lumen, is introduced into the vein and then advanced into the mitral orifice. Subsequently, a rapid exchange balloon catheter running on the same guidewire is inserted and lined up with the first catheter so the two are positioned side by side. Both balloons are then inflated simultaneously. Age of the patients was 31 +/- 12.8 years and weight 50 +/- 14 kg. Valve area increased 0.75 +/- 0.22 cm(2) to 2.00 +/- 0.32 cm(2)and mean left atrial pressure dropped from 27 +/- 8 to 11 +/- 5 mm Hg. One patient had significant mitral insufficiency after dilatation, which did not require surgery. The Multi-Track System is a valid alternative to the existing procedures for the treatment of mitral stenosis and uses simpler and less costly catheters. Cathet. Cardiovasc. Intervent. 48:178-183, 1999.
URI
http://www.ncbi.nlm.nih.gov/pubmed/10506774http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/31760
Citation
Catheter Cardiovasc Interv. 1999 Oct;48(2):178-83Publisher
University of Nairobi, School of health science
Collections
- Faculty of Health Sciences (FHS) [10377]