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Alcohol septal ablation complicated by complete heart block and permanent pacemaker failure
Author(s) -
Valettas Nicholas,
Rho Robert,
Beshai John,
Lloyd Caroline T.,
Ross Heather M.,
Kocovic Dusan,
Herrmann Howard C.
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10412
Subject(s) - medicine , alcohol septal ablation , heart block , cardiology , heart failure , ablation , permanent pacemaker , surgery , electrocardiography , obstructive cardiomyopathy , hypertrophic cardiomyopathy
Abstract Alcohol septal ablation is a novel catheter‐based technique for the treatment of obstructive hypertrophic cardiomyopathy. Complete heart block complicates the procedure in 7%–30% of cases and necessitates the prophylactic insertion of a temporary pacing wire in all patients who do not have a permanent pacemaker. We describe a case of alcohol septal ablation complicated by complete heart block and failure to capture by both a permanent pacemaker and an implantable cardioverter defibrillator (ICFD) with pacing capabilities. Cathet Cardiovasc Intervent 2003;58:189–193. © 2003 Wiley‐Liss, Inc.