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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 (
Itsik, Ben-Dor +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 ...
H, Seggewiss, L, Faber, P, Ziemssen
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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
Christopher D, Nielsen +2 more
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Alcohol septal ablation after failed surgical myectomy
Catheterization and Cardiovascular Interventions, 2007AbstractWe describe the case of a successful alcohol septal ablation in a patient with persistent gradient and severe symptoms postsurgical myectomy. The alcohol ablation of the thickened septum abolished the left ventricular outflow gradient and the systolic anterior motion (SAM) of the mitral valve.
Dominique, Joyal +3 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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Transradial alcohol septal ablation.
The Journal of invasive cardiology, 2015Radial access is shown to have fewer access-related complications when compared to femoral artery access. While two small European studies have examined the feasibility of transradial access for alcohol septal ablations, no reports from the United States have yet been published.
Luke P, Groben +2 more
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[Alcohol septal ablation and hypertrophic cardiomyopathy].
Zhonghua xin xue guan bing za zhi, 2010Patients with hypertrophic cardiomyopathy who experience refractory symptoms due to left ventricular outflow tract obstruction are often referred for definitive therapy consisting of either surgical myectomy or alcohol septal ablation (ASA). There currently exists clinical equipoise regarding which therapy is the most efficacious in this challenging ...
Carey, Kimmelstiel +3 more
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