The Role of Alcohol Septal Ablation in the Treatment of Left Ventricular Outflow Tract Obstruction in Hypertrophic Cardiomyopathy

[...]very recently, the only available data on long-term outcomes after alcohol septal ablation were derived from single-center studies. Because the registry does not report the cause of death, it is impossible to determine whether there was an excess of heart failure deaths after alcohol ablation,...

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Bibliographic Details
Published inJournal of the American College of Cardiology Vol. 58; no. 22; pp. 2329 - 2331
Main Author Elliott, Perry, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 22.11.2011
Elsevier Limited
Subjects
Ablation Techniques - methods
Alcohol
alcohol septal ablation
Cardiology
Cardiomyopathy
Cardiomyopathy, Hypertrophic - therapy
Cardiovascular
Ethanol - administration & dosage
Female
Heart attacks
Heart failure
Humans
hypertrophic
Internal Medicine
Male
Mortality
Surgery
Ventricular Outflow Obstruction - therapy
cardiomyopathy
hypertrophic
alcohol septal ablation
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Summary:[...]very recently, the only available data on long-term outcomes after alcohol septal ablation were derived from single-center studies. Because the registry does not report the cause of death, it is impossible to determine whether there was an excess of heart failure deaths after alcohol ablation, but it seems inconceivable that extensive loss of myocardium is conducive to preservation of systolic performance in the long term and once again suggests that the use of gradient reduction in the catheter laboratory as an index of success endangers patients.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Editorial-2
ObjectType-Commentary-1
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2011.10.826