This is the Wilkins score for assessing feasibility of balloon valvuloplasty in mitral stenosis. It considers the following 4 features -
1. Valve calcification
2. Leaflet mobility
3. Thickening of leaflets
4. Thickening of subvalvular apparatus
Scoring system ranges form 1-4 depending on the severity of each feature. A score of < 8 to 9 with no more than moderate MR are suitable candidates. Anything more than this would require surgery.
References
1. Wilkins GT, Weyman AE, Abascal VM, Block PC, Palacios IF. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J.1988; 60: 299–308
1. Valve calcification
2. Leaflet mobility
3. Thickening of leaflets
4. Thickening of subvalvular apparatus
References
1. Wilkins GT, Weyman AE, Abascal VM, Block PC, Palacios IF. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J.1988; 60: 299–308
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