Long-Term Outcome of Alcohol Septal Ablation for Obstructive Hypertrophic Cardiomyopathy in the Young and the Elderly

Abstract

ASA is similarly effective for reduction of symptoms in young and elderly patients; however, younger patients have a lower risk of procedure-related atrioventricular conduction disturbances. The long-term mortality rate and risk of adverse arrhythmic events following ASA are low, both in young and elderly patients, and are comparable to age-matched nonobstructive HCM patients.

Short and long-term outcomes of alcohol septal ablation with the trans-radial versus the trans-femoral approach

“…The observed survival was consistent across access site. Moreover, our report shows that young and elderly patients (age b55 vs. Age N55) undergoing ASA have similar long-term survival, which was consistent with a recent report from a Dutch group [37].…”

Alcohol-Based Septal Ablation of Interventricular Septum With Contrast Echocardiographic Control

“…В итоге в течение следующих 2-4 недель отмечается новое снижение градиента дав-ления в ВОЛЖ к исходным постпроцедурным пока-зателям. С накоплением опыта у хирургов и исполь-зованием контрастной эхокардиографии миокарда отмечается тенденция к уменьшению объема исполь-зуемого этанола без снижения эффективности проце-дуры [22,26,27].…”

Conservative versus invasive treatment in hypertrophic obstructive cardiomyopathy: an echocardiography study

“…All the above mentioned mechanisms lead to symptoms deterioration and are also associated with poor prognosis. In literature, there are many works dealing with issues of alcohol septal ablation and documenting its safety and effi cacy (20,21,22). However, much less studies concern with comparing of invasive and conservative approach.…”