SEPTAL MYECTOMY OR ALCOHOL ABLATION FOR HYPERTROPHIC CARDIOMYOPATHY: A NATIONWIDE INPATIENT SAMPLE (NIS) DATABASE ANALYSIS
نویسندگان
چکیده
منابع مشابه
Hypertrophic obstructive cardiomyopathy-alcohol septal ablation vs. myectomy: a meta-analysis.
AIMS Our purpose is to conduct a meta-analysis of all published studies comparing alcohol septal ablation (ASA) and myectomy (MM) for drug refractory hypertrophic obstructive cardiomyopathy (HOCM). Alcohol septal ablation is a less invasive alternative to MM for relief of symptoms in patients with drug refractory HOCM. METHODS AND RESULTS An extensive search of PubMed identified five non-rand...
متن کاملAlcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
Since its original description in 1994, alcohol septal ablation (ASA) has emerged as a minimally invasive modality for treatment of hypertrophic obstructive cardiomyopathy compared to surgical myomectomy. This catheter-based intervention relies on the injection of absolute alcohol into the septal perforator to induce a controlled infarction of the hypertrophied septum and consequently abolish t...
متن کاملAlcohol septal ablation for obstructive hypertrophic cardiomyopathy.
Treatment 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 tract obstruction. Along with the impressi...
متن کاملHypertrophic obstructive cardiomyopathy: alcohol septal ablation
Alcohol septal ablation (ASA) was introduced in 1994 as an alternative to septal myectomy for patients with hypertrophic obstructive cardiomyopathy and symptoms refractory to medical therapy. This procedure alleviates symptoms by producing a targeted, limited infarction of the upper interventricular septum, resulting in an increase in left ventricular outflow tract (LVOT) diameter, a decrease i...
متن کاملSeptal myectomy for obstructive hypertrophic cardiomyopathy.
Septal myectomy effectively relieves left ventricular outflow tract obstruction (LVOTO) and cardiac symptoms in both adults and children with obstructive hypertrophic cardiomyopathy (HCM). Abnormal attachments of the papillary muscles and chordae and other cardiac lesions can be repaired at the same time. Early mortality for isolated septal myectomy in both children and adults is low (0% to 2.5...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2021
ISSN: 0735-1097
DOI: 10.1016/s0735-1097(21)02470-0