Document Detail

Inferior infarction following alcohol septal ablation: a consequence of "collateral damage"?
MedLine Citation:
PMID:  17195204     Owner:  NLM     Status:  MEDLINE    
Alcohol septal ablation is fast becoming the most common method to reduce left ventricular outflow tract gradient in patients with symptomatic hypertrophic obstructive cardiomyopathy. Myocardial contrast echocardiography (MCE) is routinely used as an adjunct to avoid the spread of alcohol to non-target areas of myocardium. We report two cases where despite the careful use of MCE, remote inferior wall myocardial infarctions occurred. The likely mechanism and possible preventive measures are discussed.
Saqib Chowdhary; Paul Galiwango; Anna Woo; Leonard Schwartz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  69     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-31     Completed Date:  2007-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  236-42     Citation Subset:  IM    
Copyright Information:
(c) 2006 Wiley-Liss, Inc.
Department of Cardiology, Wythenshawe Hospital, South Manchester University Hospitals, Manchester, United Kingdom.
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MeSH Terms
Cardiomyopathy, Hypertrophic / drug therapy*,  radiography,  ultrasonography
Coronary Angiography
Embolization, Therapeutic / adverse effects*,  methods
Ethanol / adverse effects*,  therapeutic use
Heart Catheterization
Middle Aged
Myocardial Infarction / etiology*,  ultrasonography
Ventricular Outflow Obstruction / radiography,  therapy,  ultrasonography
Reg. No./Substance:

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