Intracardiac ultrasound-guided percutaneous mitral valvuloplasty
Valvuloplastía mitral percutánea guiada por ultrasonido intracardiaco
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" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Valvuloplastía mitral percutánea guiada por ultrasonido intracardiaco" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "293v81n01-90002376fig1.jpg" "Alto" => 758 "Ancho" => 1016 "Tamanyo" => 76992 ] ] "descripcion" => array:1 [ "en" => "Intracardiac echo in short-axis view showing the interatrial septum forced off the left by the Brockenbrough needle." ] ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Case presentation</span></p><p class="elsevierStylePara">A 65-year-old woman with high blood pressure and past medical history positive for rheumatic fever during childhood on ambulatory medical treatment with spironolactone, enalapril, and furosemide presented at our institution, the <span class="elsevierStyleItalic">Instituto Nacional de Cardiologia Ignacio Chavez</span>, with a history of progressive worsening of her functional class over the last 6 years. She was referred to our Institute after detecting a cardiac murmur. A trans-thoracic echo-cardiogram showed evidence of inactive rheumatic heart disease, pure mitral valve stenosis with a mean trans-mitral valve pressure gradient of 15 mmHg, and dilatation of the left atrium of 47 mm. In addition, there was evidence of mild mitral valve, tricuspid valve, and aortic valve regurgitation, as well as pulmonary artery hypertension with a pulmonary artery systolic pressure calculated at 62 mmHg. Left ventricular ejection fraction was normal (70%). Echocardiographic Wilkins score was calculated at 6 and the patient was considered for percutaneous mitral valvuloplasty with the Inoue balloon. </p><p class="elsevierStylePara"><span class="elsevierStyleBold">Valvuloplasty technique</span></p><p class="elsevierStylePara">Using the modified Seldinger technique, introducer sheaths were placed in the right (8 Fr) end left (11 Fr) femoral veins, as well as the left femoral artery (6 Fr). Left and right cardiac catheterization was performed, measuring baseline pressures at main pulmonary artery, pulmonary capillary wedge, and left ventricle; as well as simultaneous trans-mitral pressure gradient. In addition, a left ventriculogram was performed in the RAO projection.</p><p class="elsevierStylePara">After baseline hemodynamic assessment, percutaneous mitral valvuloplasty was performed, for which a Mullins catheter was advanced with the Brockenbrough needle through the right femoral vein. At this point, an AcuNav (Acuson, Mountain View, CA) intracardiac echo-cardiogram (ICE) catheter was advanced through the left femoral vein. This catheter system consists of an element located at the tip, which collects two dimensional ultra-sound images at 7 and 8.5 MHz resolution, and a handle with three rotator controls, two to position the tip of the catheter and the other to lock it in position. </p><p class="elsevierStylePara">The transeptal puncture was performed under direct ultrasound guidance (<span class="elsevierStyleBold">Figure 1</span>). After hemodynamic confirmation of left atrial curve morphology, the Mullins catheter was advanced and exchanged for a spiral guide-wire. Interatrial septum was dilated with the usual technique and an Inoue 28 balloon was advanced through the mitral valve into the left ventricle under direct ultrasound guidance (<span class="elsevierStyleBold">Figure 2</span>). Mitral valvuloplasty at the level of the valve (<span class="elsevierStyleBold">Figure 3</span>) was performed by a single inflation with the Inoue balloon with 28 ml of normal saline. ICE analysis across the mitral valve showed a significant drop of mean transmitral valve gradient and an increase of the mitral valve area, without an increase of mitral regurgitation. </p><p class="elsevierStylePara"><img src="293v81n01-90002376fig1.jpg" alt="Figure 1. Intracardiac echo in short-axis view showing the interatrial septum forced off the left by the Brockenbrough needle."></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold">Figure 1</span>. Intracardiac echo in short-axis view showing the interatrial septum forced off the left by the Brockenbrough needle.</p><p class="elsevierStylePara"><img src="293v81n01-90002376fig2.jpg" alt="Figure 2. Shows the Inoue balloon deflated (arrow) at the mitral valvular plane in a long-axis view of the left ventricle."></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold">Figure 2</span>. Shows the Inoue balloon deflated (arrow) at the mitral valvular plane in a long-axis view of the left ventricle.</p><p class="elsevierStylePara"><img src="293v81n01-90002376fig3.jpg" alt="Figure 3. Shows the Inoue balloon inflated (arrow) with a waist in its middle; mitral valvular plane in long-axis view."></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold">Figure 3</span>. Shows the Inoue balloon inflated (arrow) with a waist in its middle; mitral valvular plane in long-axis view.</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conclusions</span></p><p class="elsevierStylePara">Intracardiac echocardiography is a relatively new ultra-sound imaging modality that has been progressively used for guidance of interventional cardiac procedures.<span class="elsevierStyleSup">1</span> The first experience in humans with this method was reported in 2000 presenting two cases of mitral valvuloplasty with distorted anatomy of the interatiral septum due to bulking of the <span class="elsevierStyleItalic">fossa ovalis</span> within the atrium;2 since then, several reports have been published confirming its usefulness in the guidance of several interventional cardiac procedures, and it is currently replacing transesophageal echocardiography in the guidance of transcatheter treatment of interatrial and interventricular septal defects, patent foramen ovale, as well as in the guidance of transeptal puncture procedures for mitral stenosis and radiofrequency ablation of atrial fibrillation.<span class="elsevierStyleSup">3,4</span> At the <span class="elsevierStyleItalic">Instituto Nacional de Cardiologia Ignacio Chavez</span>, this method was started to be used around the year 2002 for guidance of the interventionist treatment of congenital structural heart disease.<span class="elsevierStyleSup">5</span> This is the first case at our Institute, however, of ICE guidance of a percutaneous mitral valvuloplasty with Inoue balloon. Its potential advantages would be that it provides guidance for a safe and rapid transeptal puncture, shortens fluoroscopy exposure time, and provides immediate on-line assessment of the result of the mitral valvuloplasty by both two-dimensional ultrasound and Doppler technique.<span class="elsevierStyleSup">5,6,7</span> We hope that the ICE guidance for mitral valvuloplasty will help the low-volume inter-ventionist to obtain similar results as those performing lots of procedures per year in a high-volume reference center. This can be achieved by reducing the potential complications of trans-septal puncture during the Inoue balloon mitral valvuloplasty.</p><hr></hr><p class="elsevierStylePara"><span class="elsevierStyleItalic">Corresponding author: </span>Marco Antonio Martínez Ríos. <br></br> Hemodynamic Service. Instituto Nacional de Cardiología. <span class="elsevierStyleItalic"><br></br> E-mail: </span><a href="mailto:mtzrios@cardiologia.org.mx" class="elsevierStyleCrossRefs">mtzrios@cardiologia.org.mx</a></p><p class="elsevierStylePara">Received on December 24, 2009;<br></br> accepted on February 16, 2010.</p>" "pdfFichero" => "293v81n01a90002376pdf001.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec192430" "palabras" => array:1 [ 0 => "Estenosis mitral; Valvuloplastía mitral percutánea; Ecocardiografía intracardiaca; México" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec192429" "palabras" => array:1 [ 0 => "Mitral stenosis; Percutaneous mitral valvuloplasty; Intracardiac echocardiography; Mexico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "Intracardiac echocardiography (ICE) is a relatively new method of ultrasound images useful during cardiac percutaneous interventional procedures. The first human experience with this method was published in 2000 and, since then, several original trials have enrolled this useful method, proving similar and more useful than transesophageal echocardiography in percutaneous treatment of several congenital cardiopathies, like interatrial communication, permeable oval foramen, mitral stenosis, and atrial fibrillation ablation. In this presentation, we publish a single case report of percutaneous mitral valvuloplasty under ICE guidance." ] "es" => array:1 [ "resumen" => "La ecocardiografía intracardiaca (EIC) es un método relativamente nuevo de imágenes por ultrasonido que utilizamos principalmente durante procedimientos de cateterismo intervencionista. La primera experiencia en seres humanos con este método fue reportada en 2000 y, desde entonces, se han publicado diversos artículos sobre su utilidad como procedimiento de control sustituto de la ecocardiografía transesofágica, en el tratamiento por cateterismo de la comunicación interatrial, comunicación interventricular, foramen oval permeable, estenosis mitral y ablación de fibrilación auricular. En esta ocasión presentamos un caso de estenosis mitral y valvuloplastìa percutánea, guiado por EIC." ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "293v81n01-90002376fig1.jpg" "Alto" => 758 "Ancho" => 1016 "Tamanyo" => 76992 ] ] "descripcion" => array:1 [ "en" => "Intracardiac echo in short-axis view showing the interatrial septum forced off the left by the Brockenbrough needle." ] ] 1 => array:8 [ "identificador" => "fig2" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "293v81n01-90002376fig2.jpg" "Alto" => 745 "Ancho" => 1012 "Tamanyo" => 73033 ] ] "descripcion" => array:1 [ "en" => "Shows the Inoue balloon deflated (arrow) at the mitral valvular plane in a long-axis view of the left ventricle." ] ] 2 => array:8 [ "identificador" => "fig3" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "293v81n01-90002376fig3.jpg" "Alto" => 758 "Ancho" => 1004 "Tamanyo" => 80441 ] ] "descripcion" => array:1 [ "en" => "Shows the Inoue balloon inflated (arrow) with a waist in its middle; mitral valvular plane in long-axis view." ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Role of intracardiac echo-cardiographic guidance in transcatheter closure of atrial septal defects and patent foramen ovale using the Amplatzer device." "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Koenig P" 1 => "Cao Gl" 2 => "Heitschmidt M" 3 => "et al." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "fecha" => "J Interv Cardiol 2003" "volumen" => "16" "paginaInicial" => "51" "paginaFinal" => "62" "itemHostRev" => array:3 [ "pii" => "S0010782499000815" "estado" => "S300" "issn" => "00107824" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Transseptal puncture guided by intracardiac echocardiography during percutaneous transvenous mitral commissurotomy in patients with distorted anatomy of the fossa ovalis Catheter Cardiovasc Interv 2000." "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Cafri C" 1 => "de la Guardia B" 2 => "Barasch E" 3 => "et al." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "volumen" => "50" "paginaInicial" => "463" "paginaFinal" => "467" "itemHostRev" => array:3 [ "pii" => "S0010782499000864" "estado" => "S300" "issn" => "00107824" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Intracardiac phased-array imaging: methods and initial clinical experience with high resolution, under blood visualization." "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Packer DL" 1 => "Stevens CL" 2 => "Curley MG" 3 => "et al." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "fecha" => "J Am Coll Cardiol 2002" "volumen" => "39" "paginaInicial" => "509" "paginaFinal" => "516" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Clinical use of AcuNav diagnostic ultrasound catheter imaging during left heart radio-frequency ablation and transcatheter closure procedures." "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Ren JF" 1 => "Marchlinski FE" 2 => "Callans DJ" 3 => "et al." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "fecha" => "J Am Soc Echocardiogr 2002" "volumen" => "5" "paginaInicial" => "1301" "paginaFinal" => "1308" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Tratamiento con oclusores Amplatzer de los defectos septales." "idioma" => "es" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Zabal C." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "fecha" => "Arch Cardiol Mex 2003" "volumen" => "73" "paginaInicial" => "S158" "paginaFinal" => "162" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Transcatheter closure of atrial septal defects and patent foramen ovale under intracardiac echocardiographic guidance: feasibility and comparison with transesophageal echocardiography." "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Hijazi Z" 1 => "Wang Z" 2 => "Cao Q" 3 => "et al." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "fecha" => "Catheter Cardiovasc Interv 2001" "volumen" => "52" "paginaInicial" => "194" "paginaFinal" => "199" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Intracardiac echocardiography during interventional and electrophysiological cardiac catheterization." 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ISSN: 14059940Original language: English
The statistics are updated each day
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 0 | 2 |
| 2024 October | 17 | 7 | 24 |
| 2024 September | 25 | 14 | 39 |
| 2024 August | 18 | 11 | 29 |
| 2024 July | 29 | 10 | 39 |
| 2024 June | 40 | 3 | 43 |
| 2024 May | 53 | 4 | 57 |
| 2024 April | 21 | 2 | 23 |
| 2024 March | 35 | 6 | 41 |
| 2024 February | 42 | 10 | 52 |
| 2024 January | 36 | 4 | 40 |
| 2023 December | 25 | 4 | 29 |
| 2023 November | 38 | 7 | 45 |
| 2023 October | 39 | 8 | 47 |
| 2023 September | 8 | 7 | 15 |
| 2023 August | 16 | 6 | 22 |
| 2023 July | 17 | 3 | 20 |
| 2023 June | 20 | 5 | 25 |
| 2023 May | 27 | 9 | 36 |
| 2023 April | 14 | 0 | 14 |
| 2023 March | 21 | 2 | 23 |
| 2023 February | 21 | 5 | 26 |
| 2023 January | 10 | 3 | 13 |
| 2022 December | 20 | 4 | 24 |
| 2022 November | 29 | 3 | 32 |
| 2022 October | 15 | 7 | 22 |
| 2022 September | 21 | 13 | 34 |
| 2022 August | 18 | 14 | 32 |
| 2022 July | 14 | 7 | 21 |
| 2022 June | 13 | 5 | 18 |
| 2022 May | 20 | 7 | 27 |
| 2022 April | 15 | 10 | 25 |
| 2022 March | 24 | 7 | 31 |
| 2022 February | 15 | 5 | 20 |
| 2022 January | 18 | 3 | 21 |
| 2021 December | 8 | 11 | 19 |
| 2021 November | 23 | 8 | 31 |
| 2021 October | 12 | 9 | 21 |
| 2021 September | 10 | 7 | 17 |
| 2021 August | 12 | 10 | 22 |
| 2021 July | 14 | 5 | 19 |
| 2021 June | 11 | 7 | 18 |
| 2021 May | 6 | 7 | 13 |
| 2021 April | 17 | 7 | 24 |
| 2021 March | 10 | 5 | 15 |
| 2021 February | 13 | 6 | 19 |
| 2021 January | 6 | 9 | 15 |
| 2020 December | 13 | 4 | 17 |
| 2020 November | 19 | 12 | 31 |
| 2020 October | 12 | 9 | 21 |
| 2020 September | 15 | 12 | 27 |
| 2020 August | 11 | 5 | 16 |
| 2020 July | 12 | 6 | 18 |
| 2020 June | 4 | 3 | 7 |
| 2020 May | 10 | 4 | 14 |
| 2020 April | 6 | 3 | 9 |
| 2020 March | 5 | 4 | 9 |
| 2020 February | 8 | 4 | 12 |
| 2020 January | 4 | 1 | 5 |
| 2019 December | 13 | 5 | 18 |
| 2019 November | 6 | 2 | 8 |
| 2019 October | 3 | 2 | 5 |
| 2019 September | 5 | 4 | 9 |
| 2019 August | 10 | 8 | 18 |
| 2019 July | 15 | 7 | 22 |
| 2019 June | 29 | 14 | 43 |
| 2019 May | 81 | 24 | 105 |
| 2019 April | 26 | 13 | 39 |
| 2019 March | 1 | 2 | 3 |
| 2019 February | 2 | 1 | 3 |
| 2019 January | 1 | 1 | 2 |
| 2018 December | 2 | 3 | 5 |
| 2018 November | 4 | 4 | 8 |
| 2018 October | 6 | 10 | 16 |
| 2018 September | 7 | 1 | 8 |
| 2018 August | 4 | 0 | 4 |
| 2018 July | 7 | 2 | 9 |
| 2018 June | 7 | 1 | 8 |
| 2018 May | 0 | 7 | 7 |
| 2018 April | 0 | 2 | 2 |
| 2018 March | 7 | 0 | 7 |
| 2018 February | 11 | 1 | 12 |
| 2018 January | 6 | 0 | 6 |
| 2017 December | 15 | 1 | 16 |
| 2017 November | 3 | 0 | 3 |
| 2017 October | 9 | 3 | 12 |
| 2017 September | 2 | 3 | 5 |
| 2017 August | 10 | 1 | 11 |
| 2017 July | 5 | 1 | 6 |
| 2017 June | 7 | 6 | 13 |
| 2017 May | 5 | 5 | 10 |
| 2017 April | 10 | 2 | 12 |
| 2017 March | 23 | 10 | 33 |
| 2017 February | 7 | 3 | 10 |
| 2017 January | 10 | 0 | 10 |
| 2016 December | 5 | 4 | 9 |
| 2016 November | 11 | 4 | 15 |
| 2016 October | 17 | 4 | 21 |
| 2016 September | 12 | 2 | 14 |
| 2016 August | 13 | 3 | 16 |
| 2016 July | 13 | 3 | 16 |
| 2016 June | 45 | 19 | 64 |
| 2016 May | 25 | 19 | 44 |
| 2016 April | 14 | 19 | 33 |
| 2016 March | 13 | 23 | 36 |
| 2016 February | 18 | 32 | 50 |
| 2016 January | 21 | 32 | 53 |
| 2015 December | 47 | 23 | 70 |
| 2015 November | 32 | 25 | 57 |
| 2015 October | 42 | 17 | 59 |
| 2015 September | 38 | 17 | 55 |
| 2015 August | 40 | 39 | 79 |
| 2015 July | 54 | 26 | 80 |
| 2015 June | 46 | 42 | 88 |
| 2015 May | 41 | 21 | 62 |
| 2015 April | 44 | 14 | 58 |
| 2015 March | 37 | 14 | 51 |
| 2015 February | 30 | 4 | 34 |
| 2015 January | 32 | 3 | 35 |
| 2014 December | 76 | 5 | 81 |
| 2014 November | 49 | 3 | 52 |
| 2014 October | 63 | 4 | 67 |
| 2014 September | 65 | 3 | 68 |
| 2014 August | 47 | 4 | 51 |
| 2014 July | 49 | 5 | 54 |
| 2014 June | 52 | 2 | 54 |
| 2014 May | 32 | 3 | 35 |
| 2014 April | 33 | 3 | 36 |
| 2014 March | 65 | 13 | 78 |
| 2014 February | 67 | 7 | 74 |
| 2014 January | 58 | 5 | 63 |
| 2013 December | 78 | 8 | 86 |
| 2013 November | 74 | 7 | 81 |
| 2013 October | 72 | 10 | 82 |
| 2013 September | 63 | 6 | 69 |
| 2013 August | 99 | 9 | 108 |
| 2013 July | 77 | 10 | 87 |
| 2013 June | 41 | 1 | 42 |
| 2013 May | 34 | 7 | 41 |
| 2013 April | 35 | 10 | 45 |
| 2013 March | 32 | 8 | 40 |
| 2013 February | 14 | 5 | 19 |
| 2013 January | 18 | 4 | 22 |
| 2012 December | 13 | 5 | 18 |
| 2012 November | 16 | 2 | 18 |
| 2012 October | 21 | 4 | 25 |
| 2012 September | 2 | 1 | 3 |
| 2011 January | 696 | 0 | 696 |
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