Alcohol septal ablation complicated by complete heart block and permanent pacemaker failure.
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.
Valettas
Nicholas
N
Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rho
Robert
R
Beshai
John
J
Lloyd
Caroline T
CT
Ross
Heather M
HM
Kocovic
Dusan
D
Herrmann
Howard C
HC
D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000628:therapy*; D017115:Catheter Ablation / Q000009:adverse effects*; D004562:Electrocardiography; D004868:Equipment Failure; D000431:Ethanol / Q000627:therapeutic use; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial
D000431:Ethanol