Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis
To assess the long-term results of percutaneous balloon valvuloplasty at a single institution. This study comprised 189 patients with pulmonary valve stenosis undergoing percutaneous balloon valvuloplasty from 1984 to 1996, whose mean age was 7.97+/-9.25 years. The procedure was classified as succes...
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| Veröffentlicht in: | Arquivos brasileiros de cardiologia 2004-03, Vol.82 (3), p.221-227 |
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| creator | Hatem, Domingos M Castro, Iran Haertel, José Carlos Rossi, Raul I Zielinsky, Paulo Leboute, Flávio C Pomar, Nara Winckler, Maristela Kersten, Rogério N Cardoso, Carlos Roberto Gottschall, Carlos A M |
| description | To assess the long-term results of percutaneous balloon valvuloplasty at a single institution.
This study comprised 189 patients with pulmonary valve stenosis undergoing percutaneous balloon valvuloplasty from 1984 to 1996, whose mean age was 7.97+/-9.25 years. The procedure was classified as successful when the RV-PA gradient was reduced to levels < 36 mmHg; restenosis was indicated by RV-PA gradients > 36 mmHg after an effective procedure.
After the procedure, the peak-to-peak transvalvular gradient decreased from 70.12+/-30.06 to 25.11 +/-20.23 mmHg (P |
| doi_str_mv | 10.1590/s0066-782x2004000300003 |
| format | Article |
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This study comprised 189 patients with pulmonary valve stenosis undergoing percutaneous balloon valvuloplasty from 1984 to 1996, whose mean age was 7.97+/-9.25 years. The procedure was classified as successful when the RV-PA gradient was reduced to levels < 36 mmHg; restenosis was indicated by RV-PA gradients > 36 mmHg after an effective procedure.
After the procedure, the peak-to-peak transvalvular gradient decreased from 70.12+/-30.06 to 25.11 +/-20.23 mmHg (P<0.001). Immediate success was obtained in 148 (78.72%) patients. A later reduction in the gradient to values < 36 mmHg was obtained in 24 other patients previously categorized as unsuccessful. Therefore, percutaneous balloon valvuloplasty was considered effective in 172 (91.01%) patients. Effectiveness increased to 93.53% (159/170) in the cases of typical morphology. Follow-up ranged from 4.39+/-3 years to 13.01 years. Restenosis was observed in 24 (13.95%) patients. Pulmonary regurgitation was detected in 95.1% of the patients, being more intense than mild in 29.5% of the patients. The probability of maintaining an appropriate result, at any time point, with no restenosis was 92.29% in 2 years, 87.38% in 5 years, 82.46% in 8 years, and 64.48% in 10 years.
Percutaneous balloon valvuloplasty was effective and safe for the treatment of pulmonary valve stenosis with excellent short- and long-term results.</description><identifier>ISSN: 0066-782X</identifier><identifier>DOI: 10.1590/s0066-782x2004000300003</identifier><identifier>PMID: 15073648</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Adolescent ; Adult ; Blood Pressure ; Catheterization - methods ; Child ; Child, Preschool ; Cohort Studies ; Echocardiography, Doppler ; Female ; Follow-Up Studies ; Hemodynamics ; Humans ; Infant ; Male ; Middle Aged ; Pulmonary Valve Stenosis - therapy ; Time Factors ; Treatment Outcome</subject><ispartof>Arquivos brasileiros de cardiologia, 2004-03, Vol.82 (3), p.221-227</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15073648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hatem, Domingos M</creatorcontrib><creatorcontrib>Castro, Iran</creatorcontrib><creatorcontrib>Haertel, José Carlos</creatorcontrib><creatorcontrib>Rossi, Raul I</creatorcontrib><creatorcontrib>Zielinsky, Paulo</creatorcontrib><creatorcontrib>Leboute, Flávio C</creatorcontrib><creatorcontrib>Pomar, Nara</creatorcontrib><creatorcontrib>Winckler, Maristela</creatorcontrib><creatorcontrib>Kersten, Rogério N</creatorcontrib><creatorcontrib>Cardoso, Carlos Roberto</creatorcontrib><creatorcontrib>Gottschall, Carlos A M</creatorcontrib><title>Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis</title><title>Arquivos brasileiros de cardiologia</title><addtitle>Arq Bras Cardiol</addtitle><description>To assess the long-term results of percutaneous balloon valvuloplasty at a single institution.
This study comprised 189 patients with pulmonary valve stenosis undergoing percutaneous balloon valvuloplasty from 1984 to 1996, whose mean age was 7.97+/-9.25 years. The procedure was classified as successful when the RV-PA gradient was reduced to levels < 36 mmHg; restenosis was indicated by RV-PA gradients > 36 mmHg after an effective procedure.
After the procedure, the peak-to-peak transvalvular gradient decreased from 70.12+/-30.06 to 25.11 +/-20.23 mmHg (P<0.001). Immediate success was obtained in 148 (78.72%) patients. A later reduction in the gradient to values < 36 mmHg was obtained in 24 other patients previously categorized as unsuccessful. Therefore, percutaneous balloon valvuloplasty was considered effective in 172 (91.01%) patients. Effectiveness increased to 93.53% (159/170) in the cases of typical morphology. Follow-up ranged from 4.39+/-3 years to 13.01 years. Restenosis was observed in 24 (13.95%) patients. Pulmonary regurgitation was detected in 95.1% of the patients, being more intense than mild in 29.5% of the patients. The probability of maintaining an appropriate result, at any time point, with no restenosis was 92.29% in 2 years, 87.38% in 5 years, 82.46% in 8 years, and 64.48% in 10 years.
Percutaneous balloon valvuloplasty was effective and safe for the treatment of pulmonary valve stenosis with excellent short- and long-term results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Blood Pressure</subject><subject>Catheterization - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pulmonary Valve Stenosis - therapy</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0066-782X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kD1PwzAYhD2AaCn8BfDEFnj9ETsdUcWXVIkBkNgix7EhyLGD7VT03xNou9wN9-h0OoQuCVyTcgk3CUCIQlb0hwJwAGDwJ0dofgjeZ-g0pS8ASiUrT9CMlCCZ4NUc1S-fIeYCK99iF_xHgbOJPY4mjS4nHCweTNRjVt6EMeFGOReCxxvlNqMLg1Mpb3Hn8TC6PngVt_-RwSkbH1KXztCxVS6Z870v0Nv93evqsVg_PzytbtfFQCjPhbaEwJIuG22lbqjmvLRCKMoEkVqXjJe8lByoZaYFqSdQAieEUyuFlW3LFuhq1zvE8D2alOu-S9o4txteS1KBnO6awIs9ODa9aeshdv00uz5cwn4BOkBkQg</recordid><startdate>200403</startdate><enddate>200403</enddate><creator>Hatem, Domingos M</creator><creator>Castro, Iran</creator><creator>Haertel, José Carlos</creator><creator>Rossi, Raul I</creator><creator>Zielinsky, Paulo</creator><creator>Leboute, Flávio C</creator><creator>Pomar, Nara</creator><creator>Winckler, Maristela</creator><creator>Kersten, Rogério N</creator><creator>Cardoso, Carlos Roberto</creator><creator>Gottschall, Carlos A M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200403</creationdate><title>Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis</title><author>Hatem, Domingos M ; Castro, Iran ; Haertel, José Carlos ; Rossi, Raul I ; Zielinsky, Paulo ; Leboute, Flávio C ; Pomar, Nara ; Winckler, Maristela ; Kersten, Rogério N ; Cardoso, Carlos Roberto ; Gottschall, Carlos A M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p124t-cf110929bcf7cb2c445f66a23617cc5345457402f3ed07c29b7041142f76f7dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Blood Pressure</topic><topic>Catheterization - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pulmonary Valve Stenosis - therapy</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hatem, Domingos M</creatorcontrib><creatorcontrib>Castro, Iran</creatorcontrib><creatorcontrib>Haertel, José Carlos</creatorcontrib><creatorcontrib>Rossi, Raul I</creatorcontrib><creatorcontrib>Zielinsky, Paulo</creatorcontrib><creatorcontrib>Leboute, Flávio C</creatorcontrib><creatorcontrib>Pomar, Nara</creatorcontrib><creatorcontrib>Winckler, Maristela</creatorcontrib><creatorcontrib>Kersten, Rogério N</creatorcontrib><creatorcontrib>Cardoso, Carlos Roberto</creatorcontrib><creatorcontrib>Gottschall, Carlos A M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hatem, Domingos M</au><au>Castro, Iran</au><au>Haertel, José Carlos</au><au>Rossi, Raul I</au><au>Zielinsky, Paulo</au><au>Leboute, Flávio C</au><au>Pomar, Nara</au><au>Winckler, Maristela</au><au>Kersten, Rogério N</au><au>Cardoso, Carlos Roberto</au><au>Gottschall, Carlos A M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><addtitle>Arq Bras Cardiol</addtitle><date>2004-03</date><risdate>2004</risdate><volume>82</volume><issue>3</issue><spage>221</spage><epage>227</epage><pages>221-227</pages><issn>0066-782X</issn><abstract>To assess the long-term results of percutaneous balloon valvuloplasty at a single institution.
This study comprised 189 patients with pulmonary valve stenosis undergoing percutaneous balloon valvuloplasty from 1984 to 1996, whose mean age was 7.97+/-9.25 years. The procedure was classified as successful when the RV-PA gradient was reduced to levels < 36 mmHg; restenosis was indicated by RV-PA gradients > 36 mmHg after an effective procedure.
After the procedure, the peak-to-peak transvalvular gradient decreased from 70.12+/-30.06 to 25.11 +/-20.23 mmHg (P<0.001). Immediate success was obtained in 148 (78.72%) patients. A later reduction in the gradient to values < 36 mmHg was obtained in 24 other patients previously categorized as unsuccessful. Therefore, percutaneous balloon valvuloplasty was considered effective in 172 (91.01%) patients. Effectiveness increased to 93.53% (159/170) in the cases of typical morphology. Follow-up ranged from 4.39+/-3 years to 13.01 years. Restenosis was observed in 24 (13.95%) patients. Pulmonary regurgitation was detected in 95.1% of the patients, being more intense than mild in 29.5% of the patients. The probability of maintaining an appropriate result, at any time point, with no restenosis was 92.29% in 2 years, 87.38% in 5 years, 82.46% in 8 years, and 64.48% in 10 years.
Percutaneous balloon valvuloplasty was effective and safe for the treatment of pulmonary valve stenosis with excellent short- and long-term results.</abstract><cop>Brazil</cop><pmid>15073648</pmid><doi>10.1590/s0066-782x2004000300003</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Blood Pressure Catheterization - methods Child Child, Preschool Cohort Studies Echocardiography, Doppler Female Follow-Up Studies Hemodynamics Humans Infant Male Middle Aged Pulmonary Valve Stenosis - therapy Time Factors Treatment Outcome |
| title | Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis |
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