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Alcohol septal ablation in patients with severe septal hypertrophy
Heart, 2019ObjectiveThe current guidelines suggest alcohol septal ablation (ASA) is less effective in hypertrophic obstructive cardiomyopathy (HOCM) patients with severe left ventricular hypertrophy, despite acknowledging that systematic data are lacking. Therefore, we analysed patients in the Euro-ASA registry to test this statement.MethodsWe compared the short ...
Josef Veselka +13 more
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2014
Alcohol septal ablation [ASA] is a percutaneous, minimally invasive procedure performed by interventional cardiologists in carefully selected hypertrophic cardiomyopathy patients who meet strict criteria and are severely symptomatic despite maximal medical therapy.
Annapoorna Kini +2 more
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Alcohol septal ablation [ASA] is a percutaneous, minimally invasive procedure performed by interventional cardiologists in carefully selected hypertrophic cardiomyopathy patients who meet strict criteria and are severely symptomatic despite maximal medical therapy.
Annapoorna Kini +2 more
openaire +2 more sources
Alcohol Septal Ablation for Obstructive Hypertrophic Cardiomyopathy
Interventional Cardiology Clinics, 2022Over the past several decades, alcohol septal ablation has become an established therapy for selected patients, in whom there is clinical improvement in symptoms as well as objective functional capacity. Patient selection is essential to success, with continued emphasis on the procedure being performed by experienced operators as part of a ...
Paul, Sorajja +3 more
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Alcohol Septal Ablation to Reduce Heart Failure
Interventional Cardiology Clinics, 2017Hypertrophic cardiomyopathy is a commonly encountered inheritable cardiac disorder with variable phenotypic expression. Although most patients will have no or mild symptoms, 10% will develop heart failure symptoms refractory to medical management. This article discusses the mechanisms through which hypertrophic cardiomyopathy induces heart failure and ...
Joshua McKay, Sherif F. Nagueh
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Alcohol septal ablation in hypertrophic obstructive cardiomyopathy
Cardiovascular Revascularization Medicine, 2012An 80-year-old female with a history of coronary artery disease and post cardiac bypass surgery was admitted with increasing shortness of breath and fatigue. Electrocardiogram showed left ventricular hypertrophy with marked nonspecific ST-T changes. Transthoracic echocardiography demonstrated normal systolic function with asymmetric septal hypertrophy (
Zuyue Wang +6 more
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Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
Cardiology in Review, 1999Until the early 1990s, surgical myectomy was the standard treatment for patients with hypertrophic obstructive cardiomyopathy and drug refractory symptoms. In the past few years, the potential therapeutic options have dramatically changed with the introduction of DDD-pacemaker implantation and percutaneous transluminal septal myocardial ablation by ...
Hubert Seggewiss +2 more
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Alcohol Septal Ablation for Obstructive Hypertrophic Cardiomyopathy
The American Heart Hospital Journal, 2003Treatment of obstructive hypertrophic cardiomyopathy remains challenging. Medical therapy, surgical therapy, and pacemaker therapy have been shown to be beneficial in some patients over the years. Alcohol septal ablation is a catheter-based intervention that causes a controlled infarct in the septum leading to a decrease in the left ventricular outflow
Valerian Fernandes +2 more
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Choice of Septal Reduction Therapies and Alcohol Septal Ablation
Cardiology Clinics, 2019In patients with resting or provoked gradients and symptoms refractory to optimal medical therapy, alcohol septal ablation or surgical septal myectomy may be considered. Given the overall comparable outcomes after ablation and myectomy, there is, for many patients, equipoise between the two procedures.
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2016
Hypertrophic obstructive cardiomyopathy (HOCM) is a relatively common genetic disorder that exhibits wide variability in its clinical expression. Symptomatic patients most frequently experience exertional dyspnea, chest pain, fatigue and, occasionally, orthopnea or nocturnal dyspnea.
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Hypertrophic obstructive cardiomyopathy (HOCM) is a relatively common genetic disorder that exhibits wide variability in its clinical expression. Symptomatic patients most frequently experience exertional dyspnea, chest pain, fatigue and, occasionally, orthopnea or nocturnal dyspnea.
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Optimal branch selection in alcohol septal ablation
International Journal of Cardiology, 2011Alcohol septal ablation is an emerging technique for the reduction of the subaortic gradient in hypertrophic obstructive cardiomyopathy. The selection of the branch to be ablated is not always obvious, however, and the use of Myocardial Contrast Echocardiography assists in the proper localization of the perfusion area of each branch.
Konstantinos Toutouzas +6 more
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