Combined alcohol septal ablation and transcatheter aortic valve replacement: Drunk and playing with fire. Issue 4 (11th March 2020)

• Record Type: Journal Article
• Authors: Rowin, Ethan J.; Kimmelstiel, Carey
• Is Part Of: Catheterization and cardiovascular interventions. Volume 95:Issue 4(2020)
• Page Start: 838
• Page End: 839
• Publication Date: 2020-03-11
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.28795
• Languages: English
• ISSNs: 1522-1946

Abstract

Key Points: Evaluation of the severity of aortic stenosis in the presence of dynamic left ventricular outflow (LVOT) obstruction is challenging. Invasive hemodynamic assessment with provocative maneuvers can be useful to differentiate of the relative components of obstruction. In patients with both dynamic LVOT obstruction and aortic stenosis, surgical myectomy and concurrent surgical aortic valve replacement is the optimal treatment strategy; combined alcohol septal ablation and transcatheter aortic valve replacement should only be considered for very high surgical risk patients.