Alcohol Septal Ablation for Obstructive Hypertrophic Cardiomyopathy A Word of Balance

被引:77
作者
Sorajja, Paul [1 ]
机构
[1] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis Heart Inst Fdn, Hypertroph Cardiomyopathy Ctr, 920 East 28th St, Minneapolis, MN 55407 USA
关键词
patient selection; registries; risk factors; selection bias; treatment outcome; MITRAL-VALVE PLICATION; LONG-TERM OUTCOMES; MAGNETIC-RESONANCE; TASK-FORCE; MYECTOMY; SURVIVAL; GUIDELINES; EXPERIENCE; MANAGEMENT; REDUCTION;
D O I
10.1016/j.jacc.2017.06.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The management of drug-refractory symptoms of obstructive hypertrophic cardiomyopathy has long been debated and is primarily centered on the choice between surgical myectomy and alcohol septal ablation. Decision making in these patients requires consideration of procedural risk, expertise and efficacy, and the long-term impact on patients' survival. Although there have been numerous reports on these procedures that may help guide decision making, these data continue to be self-reported and voluntary. Greater insight into the real-world experience for these therapies and how they should be applied in practice would be gained from mandatory reporting, akin to other multidisciplinary, transcatheter-based therapies. (C) 2017 by the American College of Cardiology Foundation.
引用
收藏
页码:489 / 494
页数:6
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