{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:36:53Z","timestamp":1777725413943,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Echocardiographic predictors of procedural success of redo\u2010percutaneous balloon mitral valvuloplasty (redo\u2010pBMV) have not been extensively studied, and current indications are primarily based on the Wilkins score (WS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to evaluate the role of real\u2010time 3D echocardiography in predicting the success rates of redo\u2010pBMV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>We analyzed 42 patients who underwent pBMV at our center from January 2022 to November 2022. These patients were divided into two groups: Group I (patients undergoing redo\u2010pBMV) and Group II (patients undergoing pBMV for the first time). Immediate procedural outcomes were assessed, and the 3D echocardiographic score was compared with the traditional WS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean WS was 9.69 \u00b1 1.08 in Group I, compared to 9.5 \u00b1 1.33 in Group II (<jats:italic>p<\/jats:italic> = 0.575). The 3D echocardiographic analysis revealed a numerically higher 3D score in Group I (11.2 \u00b1 1.83\u00a0vs. 10.9 \u00b1 1.52, <jats:italic>p<\/jats:italic> = 0.631). ROC curve analysis showed an area under the curve (AUC) of 0.9785 for the 3D score, indicating that it was a better predictor of success compared to the WS (ROC AUC = 0.8289).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The real\u2010time 3D echocardiographic score provides a detailed morphological assessment of the mitral valve and was found to be a better predictor of procedural success than the traditional WS in patients undergoing redo mitral stenosis intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.70194","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T13:49:19Z","timestamp":1747144159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Role of Real\u2010Time 3D\u2010Echocardiography in Predicting Success of Redo\u2010Percutaneous Balloon Mitral Valvuloplasty"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6086-1767","authenticated-orcid":false,"given":"Rohit","family":"Walse","sequence":"first","affiliation":[{"name":"Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology  Thiruvananthapuram Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhagwati","family":"Pant","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology  Thiruvananthapuram Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harikrishnan","family":"Sivadasapillai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology  Thiruvananthapuram Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Ganapathi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology  Thiruvananthapuram Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajitkumar","family":"Valaparambil","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology  Thiruvananthapuram Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/heartindia.heartindia"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2009.09.022"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43044\u2010019\u20100019\u2010x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/HRT.60.4.299"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/HRT.2004.058297"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.01.046"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EHJ.2004.09.041"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2005.11.016"},{"issue":"12","key":"e_1_2_7_10_1","first-page":"2513","article-title":"Mitral Regurgitation After Percutaneous Mitral Valvuloplasty: Insights Into Mechanisms and Impact on Clinical Outcomes","volume":"13","author":"Nunes M. 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