Also in a related study, a treatment called alcohol septal ablation is being revealed as an effective treatment for severe cases of HCM.
In addition, the research provides a suggestion why a frequently used therapy, alcohol septal ablation, is an effective treatment for symptomatic patients who remain symptomatic despite optimal medical treatment," he added.
For patients > 40 years old, and also not suitable for surgery because of comorbidities, alcohol septal ablation is viable alternative therapy for relief of obstruction and improvement of symptoms.
Key words: Hypertrophic cardiomyopathy, obstructive HCM treatment, disopyramide, septal myectomy, alcohol septal ablation, echocardiography
Obstructed patients who fail medical therapy, defined as lack of gradient reduction below 50 mmHg and persistent disabling symptoms, are usually offered invasive treatment: surgical septal myectomy, alcohol septal ablation, or DDD pacemaker.
The short-term success of alcohol septal ablation
approaches 90% (2), but long-term risks and follow-up data are not yet available.
Alcohol septal ablation
for hypertrophic cardiomyopathy.
This brief review summarizes how patients are selected for myectomy or alcohol septal ablation and reviews results for both procedures.
Key words: Hypertrophic cardiomyopathy, myectomy, alcohol septal ablation
Cardiovascular/Peripheral Vascular Surgery: Alcohol Septal Ablation
for Hypertrophic Obstructive Cardiomyopathy; Aortic Aneurysm Repair - Criteria and Options; Aortic and/or valve replacement; Atherectomy, peripheral; Atrial septal defect, repair; Carotid body tumor resection (Glomectomy); Carotid endarterectomy - Indications, LOS; Carotid/Vertebral Artery Angioplasty and Stenting Procedures; Coronary artery bypass graft(s) surgery (CABG) - Indications, LOS; Extracranial-Intracranial arterial bypass surgery; Heart volume reduction surgery;
Elderly patients or those with co-morbidities may be referred for alcohol septal ablation
or dual-chamber pacing.
Percutaneous alcohol septal ablation
has also been utilized, although its ultimate utility and safety remain controversial (5).