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Contrast Enhanced Echocardiography-Controlled Alcohol Septal Ablation for Hypertrophic Cardiomyopathy with Left Ventricular Outflow Tract Obstruction

https://doi.org/10.24060/2076-3093-2019-9-2-132-137

Abstract

In the SFHI (State Funded Healthcare Institution) Republic’s Centre for Cardiology the method of alcohol septal ablation has been introduced in 2015. The paper presents one case of a successful treatment of a patient with hypertrophic cardiomyopathy with left ventricular outflow tract obstruction treated with the use of the method of alcohol septal ablation under control of contrast enhanced echocardiography of the ablation area in the interventricular septum.

About the Authors

I. E. Nikolaeva
Republican Cardiology Center
Russian Federation

Nikolaeva Irina Evgen’evna — Candidate of Medical Sciences, Chief Medical Officer, Cardiologist-in-chief at the Ministry of Healthcare of the Republic of Bashkortostan



V. V. Plechev
Bashkir State Medical University
Russian Federation
Plechev Vladimir Vyacheslavovich — Doctor of Medical Sciences, Professor, Corresponding member of the Academy of Sciences of the Republic of Bashkortostan, Head of the Department of Hospital Surgery, member of the Presidium of the Association of Surgeons of the Republic of Bashkortostan


A. M. Mukhametyanov
Republican Cardiology Center
Russian Federation
Mukhametyanov Azat Minislamovich — Interventional radiology physician


R. M. Biktashev
Republican Cardiology Center
Russian Federation
Biktashev Renat Marisovich — Interventional radiology physician


I. V. Buzaev
Republican Cardiology Center; Bashkir State Medical University
Russian Federation

Buzaev Igor’ Vyacheslavovich — Candidate of Medical Sciences, Head of the Interventional Rardiology Department No. 1, Associate professor at the Department of Hospital Surgery



G. A. Khalikova
Republican Cardiology Center
Russian Federation

Khalikova Gulchachak Amirovna — Candidate of Medical Sciences, Physician of functional diagnostics



References

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2. Mischi M. Contrast echocardiography for cardiac quantifications [dissertation]. Eindhoven: Technische Universiteit Eindhoven; 2004. DOI: 10.6100/IR579395

3. Bockeria L.A. Hypertrophic obstructive cardiomyopa-5 thy. Russian Journal of Surgery = Annaly Khirurgii. 2013;(5):5–14 (In Russ.).

4. Kaplunova V.Yu., Shakar’yants G.A., Kozhevnikova M.V., Khabarova N.V., Privalova E.V., Belenkov Yu.N. Modern approaches to the problem of hypertrophic cardiomyopathy. Clinical Medicine (Russian Journal). 2016;94(10):754–63. DOI: 10.18821/0023-2149-2016-94-10- 754-763

5. Gietzen F., Leuner C., Gerenkapm T., Kuhn H. Relief of obstruction in hypertrophic cardiomyopathy by transient occlusion of the first septal branch of the left coronary artery. Eur Heart J. 1994;15(Suppl.):125. DOI: 10.1093/eurheartj/15.Abstract_Supplement.1

6. Mukherjee D., Bates E.R., Roffi M., Lange R.A., Moliterno D.J. Cardiovascular catheterization and intervention: a textbook of coronary, peripheral, and structural heart disease. 2nd ed. Boca Raton: CRC Press; 2018.

7. Osiev A.G., Gegenava B.B., Paleev F.N., Grigoryeva N.M. Alcoholbased septal ablation of interventricular septum with contrast echocardiographic control. Russian Journal of Cardiology. 2017;22(8):122–7 (In Russ.) DOI: 10.15829/1560-4071-2017-8-122-127

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10. Schulte H.D., Gramsch-Zabel H., Schwartzkopff R. Hypertrophic obstructive cardiomyopathy: surgical management. Schweiz Med Wochenschr. 1995;125(41):1940–9. PMID: 7481652


Supplementary files

1. Video 1. Selective contrast enhancement of left coronary artery. Well-defined first septal branch and myocardial bridging in middle segment of AIA
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2. Video 2. Selective contrast enhancement of right coronary artery. Whole length of arteries with smooth well defined contour
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3. Video 3. Coronary guidewire in first septal branch
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4. Video 4. Balloon catheter inflated in first septal branch
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5. Video 5. Contrast enhanced echocardiography, apical four-chamber view. Echo contrast agent clearly visualised in basal segment of interventricular septum
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6. Video 6. Contrast enhanced echocardiography, apical two-chamber view. Echo contrast agent clearly visualised in basal segment of interventricular septum
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7. Video 7. Injection of 96% alcohol with added contrast agent
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8. Video 8. 10 minutes exposure to 96% alcohol
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9. Video 9. Control coronary angiography. No contrast visualisation of first septal branch
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Review

For citations:


Nikolaeva I.E., Plechev V.V., Mukhametyanov A.M., Biktashev R.M., Buzaev I.V., Khalikova G.A. Contrast Enhanced Echocardiography-Controlled Alcohol Septal Ablation for Hypertrophic Cardiomyopathy with Left Ventricular Outflow Tract Obstruction. Creative surgery and oncology. 2019;9(2):132-137. (In Russ.) https://doi.org/10.24060/2076-3093-2019-9-2-132-137

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ISSN 2076-3093 (Print)
ISSN 2307-0501 (Online)