Unjailing of the septal perforator using a rotational atherectomy device prior to alcohol septal ablation in a patient with symptomatic hypertrophic obstructive cardiomyopathy

Catheter Cardiovasc Interv. 2014 Sep 1;84(3):E26-9. doi: 10.1002/ccd.25511. Epub 2014 May 13.

Abstract

We report a novel approach in which successful unjailing of the septal perforator was performed through the side branch of a coronary stent using a rotational atherectomy device for the purpose of alcohol septal ablation in a patient with symptomatic hypertrophic obstructive cardiomyopathy.

Keywords: ablation; angiography; atherectomy; cardiomyopathy; coronary; directional/rotational; hypertrophic; septal; structural heart disease intervention.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Atherectomy, Coronary / instrumentation*
  • Cardiac Catheterization
  • Cardiomyopathy, Hypertrophic / diagnostic imaging
  • Cardiomyopathy, Hypertrophic / therapy*
  • Echocardiography
  • Equipment Design
  • Ethanol / therapeutic use*
  • Female
  • Heart Septum / drug effects
  • Heart Septum / surgery*
  • Humans

Substances

  • Ethanol