Document Detail


Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation.
MedLine Citation:
PMID:  23645058     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
With the advent of transcatheter aortic valve implantation (TAVI), many AS patients, formerly considered inoperable, can receive effective treatment. The relief of the left ventricular pressure overload could lead, in some cases, to the occurrence of dynamic intracavity pressure gradients (DIG) with deleterious clinical impact. This phenomenon resembles the physiology seen in hypertrophic obstructive cardiomyopathy. We report a case in which alcohol septal ablation was used as a bail-out therapy for the acutely developed intracavity obstruction after TAVI. Potential dynamic intracavity gradients should always be excluded in the acutely deteriorated patient postoperatively. Alcohol septal ablation can be considered as a salvage therapeutic tool when other therapies are ineffective to treat subvalvular obstruction.
Authors:
Ulrich Gerckens; Luciano Pizzulli; Konstantinos Raisakis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  25     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-05-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E114-7     Citation Subset:  IM    
Affiliation:
Herz - und Gefäßzentrum Rhein/Ahr, Gemeinschaftskrankenhaus Bonn - St Elisabeth, St Petrus, St Johannes, Bonner Talweg 4-6, 53113 Bonn, Germany. kraisakis@yahoo.co.uk.
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