title: Alcohol septal ablation through a bare metal stent after rotative atherectomy: a complex procedure.
abstract: We report the case of a patient with severe malignant hypertrophic obstructive cardiomyopathy (HOCM) and calcified stenosis of the proximal and middle left anterior descending (LAD) coronary artery. We elected to treat his ischemic heart disease first. We performed angioplasty of the proximal and middle LAD, after rotative atherectomy, and implanted two bare metal stents. Thirty days later we treated his HOCM by alcohol septal ablation with catheterization of the first septal branch through the mesh of the bare metal stent implanted in the LAD. To our knowledge, this is the first documented report of such a procedure.
authors.affiliation: Department of Cardiology, Gabriel Montpied Hospital, Clermont-Ferrand University Hospital, Clermont-Ferrand, France. n_combaret@chu-clermontferrand.fr
authors.forename: Nicolas
authors.initials: N
authors.lastname: Combaret
authors.forename: Géraud
authors.initials: G
authors.lastname: Souteyrand
authors.forename: Pascal
authors.initials: P
authors.lastname: Motreff
authors.forename: Jean René
authors.initials: JR
authors.lastname: Lusson
mesh_terms: D055011:Ablation Techniques; D000368:Aged; D017225:Atherectomy, Coronary; D006328:Cardiac Catheterization; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D015150:Echocardiography, Doppler; D000431:Ethanol / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008670:Metals; D011474:Prosthesis Design; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D061205:Vascular Calcification / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D008670:Metals; D000431:Ethanol