Clinical outcomes of patients with mitral prosthetic valve obstructive thrombosis treated with streptokinase or

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G Ravi Kiran1, P Chandrasekhar1, S Mohammad Ali2

  • 1Department of Cardiology, Kurnool Medical College and Hospital, Kurnool, India.

Indian Heart Journal
|June 22, 2021
PubMed

Agent of choice for thrombolytic therapy (TT) in prosthetic valve thrombosis (PVT) is unknown. 84 mitral obstructive-PVT episodes treated with TT (43: Tenecteplase; 41: Streptokinase) were included in this prospective study. The incidence of primary end-point (CCS: complete clinical success, defined as complete or partial hemodynamic success with no complications or surgery) was 84.5% with recurrent PVT as a sole predictor. Bleeding and embolic manifestations were noted in 8.3% and 4.7% of episodes respectively. Tenecteplase use was associated with lower complication rate and a mitral EOA of <0.74 cm2 at presentation predicts the need for extended thrombolysis (accuracy, 78.6%).

Keywords:
Prosthetic valveProsthetic valve thrombosisStreptokinaseStuck valveSystematic reviewTenecteplaseThrombolytic therapy

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