Percutaneous valvular intervention

Percutaneous approaches to valvular disease.

Percutaneous Mitral Commissurotomy Rheumatic mitral stenosis continues to be endemic in developing countries, where mitral stenosis is the most frequent valve disease.1 Although the prevalence of rheumatic fever has greatly decreased in Western countries, it continues to represent an important clinical entity because of outmigration from developing countries. The figure given by the registry Eu...

VALVULAR HEART DISEASE The Pathophysiology of Ischemic Mitral Regurgitation: Implications for Surgical and Percutaneous Intervention

Mitral regurgitation (MR) resulting from prior myocardial infarction is now recognized as an important clinical sequel that directly impacts the long-term outcome of patients. The pathophysiology of this disease process is now well established, and much clinical interest is currently directed toward defining the optimal management strategy of patients with ischemic MR. This review will focus on...

Percutaneous double valve intervention.

Facilitated percutaneous coronary intervention.

M ultiple, large randomised trials comparing primary percutaneous coronary intervention (PCI) with fibrinolytic therapy for ST elevation myocardial infarction (STEMI) have shown that primary PCI results in lower rates of death, reinfarction, and stroke. Consequently, primary PCI has become the preferred reperfusion strategy for STEMI. Unfortunately, primary PCI is available in only a minority o...

Staged percutaneous coronary intervention and minimally invasive valve surgery: Results of a hybrid approach to concomitant coronary and valvular disease

Results: There were no in-hospital deaths in the hybrid group, compared with 2 (3.8%) observed in the matched group (P1⁄4 .11). Death, renal failure, or stroke occurred in 1 (1.5%) in the hybrid group versus 15 (28.8%) in the conventional group (P 1⁄4 .001). The median number of days between PCI and surgery was 24 (interquartile range, 2.5-37). At surgery, 23 hybrid patients were receiving both...