Alcohol septal ablation through a bare metal stent after rotative atherectomy: a complex procedure

Related Experiment Video

Updated: May 22, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Nicolas Combaret1, Géraud Souteyrand, Pascal Motreff

  • 1Department of Cardiology, Gabriel Montpied Hospital, Clermont-Ferrand University Hospital, Clermont-Ferrand, France. n_combaret@chu-clermontferrand.fr

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|May 19, 2012
PubMed

Insights

This case study details a novel two-stage treatment for severe hypertrophic obstructive cardiomyopathy (HOCM) and coronary artery disease. The procedure successfully addressed both conditions sequentially, marking a first in interventional cardiology.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Medicine
  • Medical Case Reports

Background:

  • Severe hypertrophic obstructive cardiomyopathy (HOCM) presents complex therapeutic challenges.
  • Calcified stenosis in the left anterior descending (LAD) coronary artery necessitates careful management to prevent ischemia.

Observation:

  • A patient presented with coexisting severe HOCM and significant calcified LAD stenosis.
  • The treatment strategy involved a staged approach, prioritizing ischemic heart disease.

Findings:

  • Successful angioplasty with stenting of the LAD was performed, followed by alcohol septal ablation for HOCM.
  • Catheterization of the septal branch was achieved through the mesh of a previously implanted bare metal stent in the LAD.

Implications:

  • This case demonstrates a potentially effective combined interventional strategy for patients with both HOCM and coronary artery disease.
  • The findings suggest that trans-stent septal ablation is a feasible technique, offering a new therapeutic option.

More Related Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter08:00

Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter

Published on: June 15, 2015

Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...