Key result
Alcohol septal ablation using 96% alcohol achieves procedural success in a severe HOCM case.
Why the study?
The authors present their first experience of performing alcohol septal ablation in a patient with hypertrophic obstructive cardiomyopathy and a very high left ventricular outflow tract gradient.
Case Report (n=1)
This case report demonstrates the successful use of alcohol septal ablation for treating a patient with symptomatic hypertrophic obstructive cardiomyopathy and a high outflow tract gradient.
Supports feasibility of 96% alcohol in extreme-gradient HOCM; hypothesis-generating and should not change practice without controlled trials.
Alcohol septal ablation (ASA) has shown to be a safe and effective procedure for treatment of symptomatic hypertrophic obstructive cardiomyopathy (HOCM) for more than 20 years with results similar to those of surgical myectomy. The first septal branch of the left anterior descending artery (LAD) is located and 96% alcohol is instilled to induce an artificial myocardial infarction and necrosis at the base of the hypertrophied septum. Now we present our first experience of a patient with HOCM with a very high left ventricular outflow tract gradient who had successful alcohol septal ablation. Cardiovasc j 2022; 15(1): 95-99
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Reza et al. (2022) conducted a case report in Hypertrophic Obstructive Cardiomyopathy (HOCM) (n=1). Alcohol septal ablation was evaluated on Procedural success. Alcohol septal ablation using 96% alcohol was successfully performed in a patient with hypertrophic obstructive cardiomyopathy and a very high left ventricular outflow tract gradient.
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