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- W4387107404 abstract "In the 30 years since Dr. Sigwart's first pioneering procedures, alcohol septal ablation (ASA) has become the standard catheterization procedure to reduce or eliminate obstruction in the left ventricular outflow tract. This procedure reduces the pressure gradient by 70-80%, and only 10-20% of patients have a residual gradient above 30 mmHg after ASA. The mortality rate of the procedure is less than 1%, and approximately 10% of patients require permanent pacemaker implantation for higher degrees of atrioventricular block. Given all the potential risks, ASA should only be performed in centers with extensive experience in the treatment of hypertrophic cardiomyopathy and with comprehensive therapeutic options, including myectomy. In the future, ASA is likely to be increasingly complemented by catheter-based mitral valve repair, which will increase its efficacy." @default.
- W4387107404 created "2023-09-28" @default.
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- W4387107404 date "2023-09-01" @default.
- W4387107404 modified "2023-10-14" @default.
- W4387107404 title "Looking Back at 30 Years of Alcohol Septal Ablation and Looking Forward to the Future" @default.
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- W4387107404 doi "https://doi.org/10.1016/j.cjca.2023.09.025" @default.
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