Document Detail

A decade of percutaneous septal ablation in hypertrophic cardiomyopathy.
MedLine Citation:
PMID:  21116069     Owner:  NLM     Status:  MEDLINE    
Percutaneous septal ablation has emerged as a less invasive treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM). In the past decade, the availability of this sophisticated technique has revived the interest of cardiologists in left ventricular outflow tract obstruction, which led to the recognition that most patients with HCM have the obstructive type. Follow-up studies have already shown the safety and efficacy of the procedure, which offers symptomatic relief in most patients. Long-term survival is comparable to historical reports after surgical myectomy. Complications are rare and can be further reduced with increased experience of the operators, and the theoretical concern for possible ventricular arrhythmogenicity of the myocardial scar has not been documented by the existing data. Although there are still no randomized trials, percutaneous septal ablation is undeniably a viable alternative for patients with HOCM.
Angelos G Rigopoulos; Hubert Seggewiss
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Publication Detail:
Type:  Historical Article; Journal Article; Review     Date:  2010-11-23
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  75     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2011  
Date Detail:
Created Date:  2010-12-28     Completed Date:  2011-02-25     Revised Date:  2012-01-09    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  28-37     Citation Subset:  IM    
2nd Department of Cardiology, University of Athens Medical School, Athen, Greece.
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MeSH Terms
Balloon Dilation
Cardiomyopathy, Hypertrophic / diagnosis,  physiopathology,  therapy*
Coronary Angiography
Ethanol / administration & dosage*
Heart Catheterization / adverse effects,  history,  methods*
Heart Septum / radiography,  ultrasonography
History, 21st Century
Injections, Intra-Arterial
Patient Selection
Treatment Outcome
Reg. No./Substance:

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