Selecting the optimal candidates for percutaneous mitral valvuloplasty using multi-modality imaging

This study compared echocardiography (echo) and cardiac computed tomography (CT) in measuring the Wilkins score and evaluated the potential added benefit of CT in predicting immediate percutaneous mitral valvuloplasty (PMV) outcomes in rheumatic mitral stenosis (MS) patients deemed eligible for PMV by echo. From a multicentre registry of 3,140 patients with at least moderate MS, we included 96 patients (age 56.4±11.5 years, 81% female) eligible for PMV based on echo Wilkins score (≤9) who underwent PMV and had measurable CT and echo images. We compared Wilkins scores from both modalities and analyzed their relationship with unsuccessful procedural outcomes, defined as suboptimal post-procedural mitral valve area (