Сибирский федеральный университет

Тип публикации: статья из журнала

Год издания: 2014

Ключевые слова: Hypertrophic cardiomyopathy, Interventricular septum, Percutaneous alcohol septal ablation, Transthoracic echocardiography, ablation therapy, adult, alcohol septal ablation, angiocardiography, article, balloon catheter, balloon occlusion, case report, coronary artery, echocardiography, electrocardiogram, female, follow up, functional status, heart left ventricle outflow tract, heart right bundle branch block, heart ventricle pressure, human, hypertension, hypertrophic obstructive cardiomyopathy, male, medical history, middle aged, percutaneous transluminal angioplasty, QT prolongation, sinus rhythm, ST segment elevation, two dimensional echocardiography, vascularization

Аннотация: In the treatment of hypertrophic obstructive cardiomyopathy (HOCM) by alcohol septal ablation, visualization of the septal area responsible for obstruction of the left ventricular outflow tract (LVOT) is carried out by transthoracic echocardiography (TTE) in conjunction with myocardial opacification by echocardiographic contrast agent. There are blood supply peculiarities of the basal part of interventricular septum (IVS) which, in some cases, make the myocardial zone responsible for LVOT obstruction difficult to detect. This paper presents cases of successful treatment of HOCM by alcohol septal reduction using a technique proposed by us, with creation of brief ischemia in the area responsible for LVOT obstruction due to balloon test occlusion of the coronary artery and evaluation of wall motion abnormalities by TTE. Application of the proposed method for visualization of the IVS can increase not only the effectiveness of the intervention but can provide a considerable degree of safety during the procedure. © 2013 et al.; licensee Cardiology Academic Press.

Журнал: Experimental and Clinical Cardiology

Выпуск журнала: Vol. 20, Is. 1

Номера страниц: 904-914

• Kuznetsov V. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Yurkina Y. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Krinochkin D. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Zyrianov I. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Semukhin M. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Pushkarev G. (Federal Government Institution, Russian Academy of Medical Sciences, Siberian Branch, Russian Federation)
• Frazin L.J. (University of Illinois Medical Center, Chicago, IL, United States)

• Scopus