الفهرس 
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Abstract
Comparison between the 3 DE and 2 DE scores in the prediction of immediate adverse outcomes (suboptimal MVA and SMR) of PBMV.
Results of PBMV are basically dependent on suitable patient selection. Currently used 2DE scores have many limitations. 3DE based scores were invented for better patient selection and outcome prediction.
The aim of our study is to compare between 3D-Anwar and 2D-Wilkins scores in mitral assessment for BMV and investigate the additive value of 3DE in prediction of immediate post-procedural adverse outcome.
The study included 50 patients with RMVS and candidates for BMV. Patients were subjected to 2D- and RT3DTTE before and immediately after BMV for assessing MV area, 2D-Wilkins’s and 3D-Anwar’s score, commissural splitting and MR. TTE was also undertaken immediately before procedure. PBMV was performed by either multitrack or Inoue balloon technique.
Regarding results of our study, the 2D-planimetry underestimated post-procedural MVA than 3D-planimetry (p=0.008). Although comparable 2D-Wilkins’s and 3D-Anwar’s score results; higher 3D-score was obtained in patients with suboptimal post-procedural MVA (p=0.008) or significant MR (p=0.003). Unlike 2D-score; 3D-Anwars’s score showed significant negative correlation with post-procedural MVA (r=-0.48, p=0.001). ROC curve analysis for both scores revealed superior prediction of suboptimal results by 3D-Anwars’s score (p<0.0001). No significant difference regarding commissural splitting assessment by 2DE and 3DE except for favorable posterior-commissural splitting by 3DE assessment post-procedurally (p=0.004). Results of both multitrack and Inoue balloon were comparable except for favorable posterior-commissural splitting by multitrack balloon (p=0.04).
Our study concluded that the 3DE gave valuable additive data before BMV that correlated well with suboptimal results and so better predicted immediate adverse outcome and consequently may improve patients’ selection for PBMV