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Percutaneous alcohol septal ablation to acutely reduce left ventricular outflow tract obstruction induced by transcatheter mitral valve replacement
Author(s) -
Guerrero Mayra,
Wang Dee Dee,
O'Neill William
Publication year - 2016
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.26649
Subject(s) - medicine , alcohol septal ablation , percutaneous , ventricular outflow tract obstruction , mitral valve replacement , ventricular outflow tract , cardiology , valve replacement , surgery , mitral valve , balloon , ablation , stenosis , hypertrophic cardiomyopathy , obstructive cardiomyopathy
Transcatheter implantation of balloon expandable valves in native mitral valves (MV) has been performed in patients with severe MV annular calcification who are not good candidates for standard surgical MV replacement. Significant left ventricular outflow tract (LVOT) obstruction with hemodynamic compromise has been described as one of the potential complications of transcatheter MV replacement. Surgical rescue carries significant risk in this high‐risk patient population. We describe a percutaneous technique to acutely decrease transcatheter MV replacement‐induced LVOT obstruction. © 2016 Wiley Periodicals, Inc.