室间隔化学消融术治疗肥厚型梗阻性心肌病的临床疗效分析

邓丹; 孟璟; 曲小龙; 王文婷; 周杨; 肇炜博; 宋治远; 胡厚源

doi:10.16016/j.1000-5404.201702120

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室间隔化学消融术治疗肥厚型梗阻性心肌病的临床疗效分析

临床医学 | 更新时间：2026-01-09

- 室间隔化学消融术治疗肥厚型梗阻性心肌病的临床疗效分析
- Clinical efficacy and safety of alcohol septal ablation for hypertrophic obstructive cardiomyopathy
- 第三军医大学学报 2017年39卷第16期页码：1673-1678
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201702120
  中图分类号：
- 收稿：2017-02-22，
  
  纸质出版：2017-08-30
- 稿件说明：
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邓丹, 孟璟, 曲小龙, 等. 室间隔化学消融术治疗肥厚型梗阻性心肌病的临床疗效分析[J]. 第三军医大学学报, 2017,39(16):1673-1678.

Dan DENG, Jing MENG, Xiaolong QU, et al. Clinical efficacy and safety of alcohol septal ablation for hypertrophic obstructive cardiomyopathy[J]. Journal of Third Military Medical University, 2017, 39(16): 1673-1678.
邓丹, 孟璟, 曲小龙, 等. 室间隔化学消融术治疗肥厚型梗阻性心肌病的临床疗效分析[J]. 第三军医大学学报, 2017,39(16):1673-1678. DOI： 10.16016/j.1000-5404.201702120.

Dan DENG, Jing MENG, Xiaolong QU, et al. Clinical efficacy and safety of alcohol septal ablation for hypertrophic obstructive cardiomyopathy[J]. Journal of Third Military Medical University, 2017, 39(16): 1673-1678. DOI： 10.16016/j.1000-5404.201702120.

摘要

Abstract

Objective

To evaluate the clinical efficacy and safety of alcohol septal ablation (ASA) in the treatment of hypertrophic obstructive cardiomyopathy (HOCM).

Methods

Forty-four patients with HOCM undergoing ASA between January

2001 and January

2015 were enrolled in this analysis. Catheter technique was used to assess the resting and provoked left ventricular outflow tract gradient (LVOTG) in the patients. Echocardiography was performed at different time points after ASA to assess changes in the resting LVOTG

interventricular septum (IVS)

left ventricular ejection fraction (LVEF)

mitral regurgitation

left atrial volume (LAV)

and left ventricular volume

and the changes of New York Heart Association (NYHA) functional class

and incidence of complications and mortality rate of the patients were recorded after the operation.

Results

Catheter measurements showed that both the resting and provoked LVOTG were decreased immediately after ASA from 79.9±37.9 mmHg to 33.8±30.2 mmHg (

0.01) and from 112.4±43.8 mmHg to 36.8±30.0 mmHg (

0.01)

respectively. β-blocker was prescribed for routine treatment for all patients after ASA. At 6 months after ASA

the patients showed a significant reduction of the left atrial end-diastolic volume from 113.8±50.3 mL to 97.6±45.7 mL (

0.01) with increased left ventricular volume and improved left ventricular synchronism and NYHA cardiac function. No episodes of complete atrioventricular block

ventricular fibrillation

or sudden cardiac death occurred in these patients after the operation.

Conclusion

ASA is safe and effective for treatment of HOCM in patients with suitable first septal perforator artery

and postoperative medication with β-blockers can provide the patients with long-term benefits.

关键词

Keywords

references

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