Percutaneous transseptal myocardial ablation with wire (PTSAW): a new technique.
Alcohol septal ablation has recently been described as a safe alternative to surgical myectomy for treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy. We describe a case where percutaneous myectomy was performed by mechanically occluding the septal artery using thrombogenic floppy tips of used PTCA wires instead of alcohol, as the anatomy of the septal artery was not suitable for alcohol ablation.
Trehan
Vijay
V
Department of Cardiology, G P Pant Hospital, New Delhi-110002, India.
Mukhopadhyay
Saibal
S
Rangasetty
Umamahesh C
UC
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis / Q000628:therapy; D017115:Catheter Ablation; D002492:Central Nervous System Depressants / Q000627:therapeutic use; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D000431:Ethanol / Q000627:therapeutic use; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy*
D002492:Central Nervous System Depressants; D000431:Ethanol