TY  - JOUR
T1  - Perkütan mitral balon valvüloplasti kısa dönem takip sonuçları: Tek merkez deneyimi
TT  - Short-term follow-up results of percutaneous mitral balloon valvuloplasty: A single-center experience
AU  - Yıldız, Abdulkadir
AU  - Kaya, Hasan
AU  - Ertaş, Faruk
AU  - Polat, Nihat
AU  - Aydin, Mesut
AU  - Yuksel, Murat
AU  - Soydinc, Serdar
AU  - Çaylı, Murat
AU  - Ulgen, Mehmet Sıddık
AU  - Toprak, Nizamettin
PY  - 2014
DA  - December
DO  - 10.5798/diclemedj.0921.2014.04.0502
JF  - Dicle Medical Journal
JO  - diclemedj
PB  - Dicle University
WT  - DergiPark
SN  - 1300-2945
SP  - 695
EP  - 699
VL  - 41
IS  - 4
LA  - tr
AB  - Amaç: Bu çalışmada kliniğimizdeki romatizmal mitral darlıklı (MD) erişkin hastalara uygulanan perkütan mitral balon valvüloplastinin (PMBV) erken dönem klinik, ekokardiyografik ve hemodinamik sonuçlarını değerlendirmeyi amaçladık.    Yöntemler: Kliniğimizde Ocak 2010-Ekim 2014 tarihleri arasında orta ya da ciddi MD nedeniyle PMBV uygulanan 53 hasta (49 kadın, 5 erkek; ortalama yaş 38±11 yıl) geriye dönük olarak değerlendirildi. İşlem başarısı, işlem sonrası mitral kapak alanının (MKA) >1,5 cm2 olması ve 3. derece mitral yetersizlik (MY) olmaması olarak kabul edildi.    Bulgular: Toplam 53 hastadan 48\'inde (%91) PMBV işlemi uygulanabildi ve tamamlanabilen tüm işlemler başarılı oldu. Hastalardan 3\'üne kapak geçilememesi, 1\'ine membranöz obstrüktif vena kava, 1\'ine de septostomi yapılamaması nedeniyle PMBV uygulanamadı. Başarılı PMBV uygulanan 2 hastaya ortalama 14 ay sonra semptomatik orta-ciddi MD nedeniyle mitral kapak replasmanı yapıldı. Ortalama 13±8 ay boyunca izlenen hastalarda atrial fibrilasyon gelişmesi veya embolik komplikasyonlar izlenmedi.    Sonuç: Perkütan mitral balon valvüloplasti işlemi deneyimli merkezlerde yüksek başarı ve düşük komplikasyon oranları ile etkin ve güvenli bir tedavi yaklaşımıdır.
KW  - Mitral darlık
KW  - perkütan mitral balon valvüloplasti
KW  - ekokardiyografi
KW  - mitral kapak alanı
N2  - Objective: We sought to analyze short-term clinical, echocardiographic, and hemodynamic consequences of percutaneous mitral balloon valvuloplasty (PMBV) in the treatment of rheumatic mitral stenosis (MS) in our clinic.    Methods: We retrospectively reviewed 53 patients (49 females, 5 males; mean age 38±11 years) who underwent PMBV for moderate or severe MS between January 2010 and October 2014. Procedural success was defined as the reaching a mitral valve area (MVA) >1.5 cm2 and absence of grade 3 mitral regurgitation.    Results: We were able to perform PMBV in 48 of 53 patients (91%) and all the procedures that were completed were successful. PMBV couldn\'t be performed in 3 patients due to inability to pass the mitral valve, 1 patient due to membranous obstructive vena cava and 1 patient due inability to perform septostomi. Two patients who underwent successful PMBV became symptomatic after an average of 14 months follow-up and mitral valve replacement was performed due to moderate-to-severe MS. Patients were followed for an average of 13 ± 8 months and atrial fibrillation development or embolic complications were not observed.    Conclusion: Percutaneous mitral balloon valvuloplasty procedure is a safe and effective treatment approach with high success and low complication rates in experienced centers.
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UR  - https://doi.org/10.5798/diclemedj.0921.2014.04.0502
L1  - https://dergipark.org.tr/en/download/article-file/53786
ER  -