IMAGES IN MEDICINE<br>Real-time myocardial contrast echocardiography for echo-guided alcohol septal ablation

Josef Veselka; David Zemánek; Jiří Fiedler; Přemysl Šváb

eISSN: 1896-9151
ISSN: 1734-1922

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2/2009
vol. 5

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abstract:

IMAGES IN MEDICINE
Real-time myocardial contrast echocardiography for echo-guided alcohol septal ablation

Josef Veselka

,

David Zemánek

,

Jiří Fiedler

,

Přemysl Šváb

Arch Med Sci 2009; 5, 2: 271-272

Online publish date: 2009/07/23

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Alcohol septal ablation (ASA) for hypertrophic obstructive cardiomyopathy is performed through a percutaneous approach, in which 1-3 ml of absolute alcohol is introduced into the septal branch to create a controlled septal infarction of the basal interventricular septum with its subsequent shrinkage and outflow gradient elimination. During the procedure, contrast myocardial echocardiography is performed to delineate the area to be infarcted and to exclude contrast (and subsequently alcohol) injection in remote myocardial regions. We report for the first time the new possibility to use the real-time myocardial contrast echocardiography with low mechanical index for the better visualization of target septa area during ASA.

keywords:

IMAGES IN MEDICINEReal-time myocardial contrast echocardiography for echo-guided alcohol septal ablation

Josef Veselka , David Zemánek , Jiří Fiedler , Přemysl Šváb

hypertrophic cardiomyopathy, alchol septal ablation, echocardiography

IMAGES IN MEDICINE
Real-time myocardial contrast echocardiography for echo-guided alcohol septal ablation

Josef Veselka

,

David Zemánek

,

Jiří Fiedler

,

Přemysl Šváb