About: Early outcomes of alcohol septal ablation for hypertrophic obstructive cardiomyopathy: European multicenter and multinational study     Goto   Sponge   NotDistinct   Permalink

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  • Background: This study was designed to evaluate the outcomes of alcohol septal ablation (ASA) under multicenter and multinational conditions. Methods: Data for 459 patients (age 57 +- 13 years) from nine European centers were prospectively collected and retrospectively analyzed. Results: ASA led to a significant reduction in outflow gradient (PG) and dyspnea [median of PG from 88 (58-123) mm Hg to 21 (11-41) mm Hg; median of NYHA class from 3 (2-3) to 1 (1-2); P < 0.01]. The incidence of 3-month major adverse events (death, electrical cardioversion for tachyarrhythmias, resuscitation) and mortality was 2.8% and 0.7%, respectively. Permanent pacemakers for post-ASA complete heart block were implanted in 43 patients (9%). Multivariate analysis identified higher amount of alcohol (however, in generally low-dose procedures), higher baseline left ventricular ejection fraction and higher age as independent predictors of PG decrease ≥50%. Conclusions: The results of the first European multicenter and multinational study demonstrate that real-world early outcomes of ASA patients are better than was reported in observations from the first decade after ASA introduction.
  • Background: This study was designed to evaluate the outcomes of alcohol septal ablation (ASA) under multicenter and multinational conditions. Methods: Data for 459 patients (age 57 +- 13 years) from nine European centers were prospectively collected and retrospectively analyzed. Results: ASA led to a significant reduction in outflow gradient (PG) and dyspnea [median of PG from 88 (58-123) mm Hg to 21 (11-41) mm Hg; median of NYHA class from 3 (2-3) to 1 (1-2); P < 0.01]. The incidence of 3-month major adverse events (death, electrical cardioversion for tachyarrhythmias, resuscitation) and mortality was 2.8% and 0.7%, respectively. Permanent pacemakers for post-ASA complete heart block were implanted in 43 patients (9%). Multivariate analysis identified higher amount of alcohol (however, in generally low-dose procedures), higher baseline left ventricular ejection fraction and higher age as independent predictors of PG decrease ≥50%. Conclusions: The results of the first European multicenter and multinational study demonstrate that real-world early outcomes of ASA patients are better than was reported in observations from the first decade after ASA introduction. (en)
Title
  • Early outcomes of alcohol septal ablation for hypertrophic obstructive cardiomyopathy: European multicenter and multinational study
  • Early outcomes of alcohol septal ablation for hypertrophic obstructive cardiomyopathy: European multicenter and multinational study (en)
skos:prefLabel
  • Early outcomes of alcohol septal ablation for hypertrophic obstructive cardiomyopathy: European multicenter and multinational study
  • Early outcomes of alcohol septal ablation for hypertrophic obstructive cardiomyopathy: European multicenter and multinational study (en)
skos:notation
  • RIV/00159816:_____/14:00061003!RIV15-MSM-00159816
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(ED1.100/02/0123)
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 12814
http://linked.open...ai/riv/idVysledku
  • RIV/00159816:_____/14:00061003
http://linked.open...riv/jazykVysledku
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  • alcohol septal ablation, cardiomyopathy, hypertrophic cardiomyopathy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [5D602A76C882]
http://linked.open...i/riv/nazevZdroje
  • Catheterization and Cardiovascular Interventions
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 84
http://linked.open...iv/tvurceVysledku
  • Zemánek, David
  • Krejčí, Jan
  • Kuhn, H.
  • Januska, J.
  • Branny, M.
  • Veselka, J.
  • Dabrowski, M.
  • Bartel, T.
  • Dimitrow, P.
  • Lawrenz, T.
  • Mizera, S.
  • Sitar, J.
  • Stellbrink, Ch.
http://linked.open...ain/vavai/riv/wos
  • 000337970100021
issn
  • 1522-1946
number of pages
http://bibframe.org/vocab/doi
  • 10.1002/ccd.25236
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