Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia

Mohammed Bedru Sebah; Kefelegn Dejene Tadesse; Ali Dawed Mohammed; Fekede Agwar Debel; Shibikom Tamirat Agonafir; Azene Dessie Mengistu; Jemal Haidar Ali

doi:doi:10.11648/j.ccr.20190303.13

Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia

Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, Azene Dessie Mengistu, Jemal Haidar Ali

Published in Cardiology and Cardiovascular Research (Volume 3, Issue 3)

Received: 23 July 2019 Accepted: 18 August 2019 Published: 4 September 2019

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Abstract

Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.

Published in	Cardiology and Cardiovascular Research (Volume 3, Issue 3)
DOI	10.11648/j.ccr.20190303.13
Page(s)	55-61
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Percutaneous Mitral Balloon Commissurotomy, Predictors, Cardiac Center Ethiopia

References

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APA Style

Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. (2019). Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiology and Cardiovascular Research, 3(3), 55-61. https://doi.org/10.11648/j.ccr.20190303.13

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ACS Style

Mohammed Bedru Sebah; Kefelegn Dejene Tadesse; Ali Dawed Mohammed; Fekede Agwar Debel; Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol. Cardiovasc. Res. 2019, 3(3), 55-61. doi: 10.11648/j.ccr.20190303.13

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AMA Style

Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol Cardiovasc Res. 2019;3(3):55-61. doi: 10.11648/j.ccr.20190303.13

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@article{10.11648/j.ccr.20190303.13,
  author = {Mohammed Bedru Sebah and Kefelegn Dejene Tadesse and Ali Dawed Mohammed and Fekede Agwar Debel and Shibikom Tamirat Agonafir and Azene Dessie Mengistu and Jemal Haidar Ali},
  title = {Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {3},
  pages = {55-61},
  doi = {10.11648/j.ccr.20190303.13},
  url = {https://doi.org/10.11648/j.ccr.20190303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190303.13},
  abstract = {Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.},
 year = {2019}
}

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TY  - JOUR
T1  - Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia
AU  - Mohammed Bedru Sebah
AU  - Kefelegn Dejene Tadesse
AU  - Ali Dawed Mohammed
AU  - Fekede Agwar Debel
AU  - Shibikom Tamirat Agonafir
AU  - Azene Dessie Mengistu
AU  - Jemal Haidar Ali
Y1  - 2019/09/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190303.13
DO  - 10.11648/j.ccr.20190303.13
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 55
EP  - 61
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190303.13
AB  - Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.
VL  - 3
IS  - 3
ER  -

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Author Information

Mohammed Bedru Sebah

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Kefelegn Dejene Tadesse

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Ali Dawed Mohammed

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Fekede Agwar Debel

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Shibikom Tamirat Agonafir

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Azene Dessie Mengistu

Cardiac Center of Ethiopia, Addis Ababa, Ethiopia
Jemal Haidar Ali

Department of Public Health Nutrition, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia

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APA Style

Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. (2019). Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiology and Cardiovascular Research, 3(3), 55-61. https://doi.org/10.11648/j.ccr.20190303.13

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ACS Style

Mohammed Bedru Sebah; Kefelegn Dejene Tadesse; Ali Dawed Mohammed; Fekede Agwar Debel; Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol. Cardiovasc. Res. 2019, 3(3), 55-61. doi: 10.11648/j.ccr.20190303.13

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AMA Style

Mohammed Bedru Sebah, Kefelegn Dejene Tadesse, Ali Dawed Mohammed, Fekede Agwar Debel, Shibikom Tamirat Agonafir, et al. Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia. Cardiol Cardiovasc Res. 2019;3(3):55-61. doi: 10.11648/j.ccr.20190303.13

Copy | Download

@article{10.11648/j.ccr.20190303.13,
  author = {Mohammed Bedru Sebah and Kefelegn Dejene Tadesse and Ali Dawed Mohammed and Fekede Agwar Debel and Shibikom Tamirat Agonafir and Azene Dessie Mengistu and Jemal Haidar Ali},
  title = {Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {3},
  pages = {55-61},
  doi = {10.11648/j.ccr.20190303.13},
  url = {https://doi.org/10.11648/j.ccr.20190303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190303.13},
  abstract = {Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Immediate Outcome and Predictors of Percutaneous Mitral Balloon Commissurotomy: A 5 Years Experience in Cardiac Center Ethiopia
AU  - Mohammed Bedru Sebah
AU  - Kefelegn Dejene Tadesse
AU  - Ali Dawed Mohammed
AU  - Fekede Agwar Debel
AU  - Shibikom Tamirat Agonafir
AU  - Azene Dessie Mengistu
AU  - Jemal Haidar Ali
Y1  - 2019/09/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190303.13
DO  - 10.11648/j.ccr.20190303.13
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 55
EP  - 61
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190303.13
AB  - Percutaneous mitral balloon commissurotomy (PMBC) is the treatment of choice for rheumatic mitral stenosis with favorable anatomy and prevents complications inherent to a surgical procedure, while maintaining effectiveness. In view of this, we examined the immediate outcome and its predictors of patients undergoing PMBC in our Cardiac Center and availed evidence based information for future use of the treatment in Ethiopia. A retrospective data analysis of 330 patients with symptomatic severe mitral stenosis treated with PMBC using Inoue balloon in the cardiac center Ethiopia from 2014 to 2018 were assessed for their clinical outcome for those who presented for the first time in our cardiac center, Addis Ababa. Demographic, clinical, echocardiographic and hemodynamic data of all patients with symptomatic severe mitral stenosis were collected and analyzed. Of the 330 PMBC performed during the 5 years in the center, the majority had successful procedure (97.88%) and optimal result (92.42%). Twenty four (7.2%) had complications of which 7 (2.1%) had failed procedure and 9 (2.7%) marked mitral regurgitation. Atrial fibrillation was observed in 67 (20.3%). The mean mitral valve score (MVS) was 7.3± 1.35 ranged from 4 to 13. A significant association of immediate outcome was observed with atrial fibrillation (AOR=4.41; 95% CI=1.51 to 12.89) and high mitral valve total Wilkins score (AOR=0.25; 95% CI 0.09 to 0.70). The major predictors identified for poor outcome are atrial fibrillation and MVS. Percutaneous mitral balloon commissurotomy is a safe procedure with excellent immediate results signifying that it is a treatment of choice for heterogeneous group of patients with rheumatic mitral stenosis.
VL  - 3
IS  - 3
ER  -

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