{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T20:00:29Z","timestamp":1772913629177,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T00:00:00Z","timestamp":1529366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"A top youth-team foundation of Beijing","award":["2015000021223TD05"],"award-info":[{"award-number":["2015000021223TD05"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Percutaneous balloon mitral valvuloplasty (<jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content>) is the treatment of choice in patients with isolated mitral stenosis. This study aimed to assess the feasibility of <jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> under echocardiography guidance only of isolated mitral stenosis (<jats:styled-content style=\"fixed-case\">MS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From October 2016 to Dec 2017, 20 consecutive patients with severe <jats:styled-content style=\"fixed-case\">MS<\/jats:styled-content> underwent <jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> with echocardiography as the only imaging modality at a single center. Outpatient follow\u2010up including chest radiography, electrocardiography, and transthoracic echocardiography was conducted at 1, 3,6, and 12\u00a0months after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 20 patients successfully underwent <jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> under echocardiography guidance without radiation and contrast agent. Among them, 2 patients were pregnant, 5 had chronic renal failure, and 1 had history of allergy to contrast. Mitral transvalvular pressure gradient measured at catheterization dropped from 13.35\u00a0\u00b1\u00a02.85\u00a0mm\u00a0Hg to 5.10\u00a0\u00b1\u00a01.17\u00a0mm\u00a0Hg (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.01). Mitral valve area increased from 0.82\u00a0\u00b1\u00a00.10\u00a0cm<jats:sup>2<\/jats:sup> pre\u2010<jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> to 1.88\u00a0\u00b1\u00a00.24\u00a0cm<jats:sup>2<\/jats:sup> post\u2010<jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.01). Mean balloon diameter was 26.63\u00a0\u00b1\u00a00.93\u00a0mm. Mild mitral regurgitation developed in 6 patients. Mean follow\u2010up duration was 6.27\u00a0\u00b1\u00a03.12\u00a0months. At last follow\u2010up, mitral valve area remained high (1.71\u00a0\u00b1\u00a00.14\u00a0cm<jats:sup>2<\/jats:sup>) and mean transmitral pressure gradient low (6.07\u00a0\u00b1\u00a01.03\u00a0mm\u00a0Hg). No pericardial effusion or peripheral vascular complications occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this small experience, <jats:styled-content style=\"fixed-case\">PBMV<\/jats:styled-content> could be successfully performed under only echocardiography guidance and appeared safe and effective while avoiding radiation and contrast agent use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14055","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T17:27:46Z","timestamp":1529429266000},"page":"1507-1511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Feasibility and effectiveness of percutaneous balloon mitral valvuloplasty under echocardiographic guidance only"],"prefix":"10.1111","volume":"35","author":[{"given":"Yao","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gai\u2010Li","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shouzheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen\u2010Bin","family":"Ou\u2010Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongquan","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; Fuwai Hospital Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8831-3543","authenticated-orcid":false,"given":"Xiang\u2010Bin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Center for Cardiovascular Disease China &amp; 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