Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement

Mark M.P. van den Dorpel; Mauricio Felippi de Sá Marchi; Sarah Verhemel; Rik Adrichem; Rutger Jan Nuis; Joost Daemen; Marcel L. Geleijnse; Claire Ben Ren; Alexander Hirsch; Nicolas M. Van Mieghem

doi:10.1016/j.jaccas.2023.102193

Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement

Mark M.P. van den Dorpel
, Mauricio Felippi de Sá Marchi
, Sarah Verhemel
, Rik Adrichem
, Rutger Jan Nuis
, Joost Daemen
, Marcel L. Geleijnse
, Claire Ben Ren
, Alexander Hirsch
, Nicolas M. Van Mieghem^*

^*Corresponding author for this work

Universidade de São Paulo

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Left ventricular outflow tract obstruction (LVOTO) is a notorious complication of transcatheter mitral valve replacement (TMVR). Computed tomography–derived simulations can predict neo-LVOTO post-TMVR, whereas alcohol septal ablation can mitigate neo-LVOTO risk. We report a case of sequential alcohol septal ablation of 2 adjacent septal branches to resolve unexpected neo-LVOTO post-TMVR.

Original language	English
Article number	102193
Journal	JACC: Case Reports
Volume	29
Issue number	3
DOIs	https://doi.org/10.1016/j.jaccas.2023.102193
Publication status	Published - 7 Feb 2024

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© 2024 The Authors

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Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve ReplacementFinal published version, 3.7 MBLicence: CC BY-NC-ND

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van den Dorpel, M. M. P., de Sá Marchi, M. F., Verhemel, S., Adrichem, R., Nuis, R. J., Daemen, J., Geleijnse, M. L., Ben Ren, C., Hirsch, A., & Van Mieghem, N. M. (2024). Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement. JACC: Case Reports, 29(3), Article 102193. https://doi.org/10.1016/j.jaccas.2023.102193

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title = "Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement",

abstract = "Left ventricular outflow tract obstruction (LVOTO) is a notorious complication of transcatheter mitral valve replacement (TMVR). Computed tomography–derived simulations can predict neo-LVOTO post-TMVR, whereas alcohol septal ablation can mitigate neo-LVOTO risk. We report a case of sequential alcohol septal ablation of 2 adjacent septal branches to resolve unexpected neo-LVOTO post-TMVR.",

author = "\{van den Dorpel\}, \{Mark M.P.\} and \{de S{\'a} Marchi\}, \{Mauricio Felippi\} and Sarah Verhemel and Rik Adrichem and Nuis, \{Rutger Jan\} and Joost Daemen and Geleijnse, \{Marcel L.\} and \{Ben Ren\}, Claire and Alexander Hirsch and \{Van Mieghem\}, \{Nicolas M.\}",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

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doi = "10.1016/j.jaccas.2023.102193",

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AU - van den Dorpel, Mark M.P.

AU - de Sá Marchi, Mauricio Felippi

AU - Verhemel, Sarah

AU - Adrichem, Rik

AU - Nuis, Rutger Jan

AU - Daemen, Joost

AU - Geleijnse, Marcel L.

AU - Ben Ren, Claire

AU - Hirsch, Alexander

AU - Van Mieghem, Nicolas M.

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N2 - Left ventricular outflow tract obstruction (LVOTO) is a notorious complication of transcatheter mitral valve replacement (TMVR). Computed tomography–derived simulations can predict neo-LVOTO post-TMVR, whereas alcohol septal ablation can mitigate neo-LVOTO risk. We report a case of sequential alcohol septal ablation of 2 adjacent septal branches to resolve unexpected neo-LVOTO post-TMVR.

AB - Left ventricular outflow tract obstruction (LVOTO) is a notorious complication of transcatheter mitral valve replacement (TMVR). Computed tomography–derived simulations can predict neo-LVOTO post-TMVR, whereas alcohol septal ablation can mitigate neo-LVOTO risk. We report a case of sequential alcohol septal ablation of 2 adjacent septal branches to resolve unexpected neo-LVOTO post-TMVR.

UR - https://www.scopus.com/pages/publications/85181232891

U2 - 10.1016/j.jaccas.2023.102193

DO - 10.1016/j.jaccas.2023.102193

M3 - Article

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IS - 3

M1 - 102193

ER -

Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement

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