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If a patient has both conditions, surgical aortic valve replacement (SAVR) with septal myectomy or, alternatively, alcohol septal ablation (ASA) followed by transcatheter aortic valve implantation (TAVI) should be considered [2, 3].
Kapadia, "Combined transcatheter aortic valve replacement and emergent alcohol septal ablation," Circulation, vol.
Individuals with severe symptoms unresponsive to medical therapy may require heart surgery or a cath lab-based technique (alcohol septal ablation) to relieve the obstruction.
However, interventional cardiology has become a rather broad field, also including alcohol septal ablation for hypertrophic obstructive cardiomyopathy, etc.
Alcohol Septal Ablation in Hypertrophic Cardiomyopathy
Also in a related study, a treatment called alcohol septal ablation is being revealed as an effective treatment for severe cases of HCM.
Obstructed patients, who fail medical therapy, are usually offered invasive treatment: surgical septal myectomy, alcohol septal ablation, or DDD pacemaker.
This brief review summarizes how patients are selected for myectomy or alcohol septal ablation and reviews results for both procedures.
Percutaneous alcohol septal ablation has also been utilized, although its ultimate utility and safety remain controversial (5).

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