肥厚性梗阻型心肌病化学消融术中及术后并发症（Complications and complications of chemical ablation in hypertrophic obstructive cardiomyopathy）.docVIP

肥厚性梗阻型心肌病化学消融术中及术后并发症（Complications and complications of chemical ablation in hypertrophic obstructive cardiomyopathy） Complications and complications of chemical ablation in hypertrophic obstructive cardiomyopathy 2011-06-15 Zhang Weiwei, Li Zhanquan, Zhang Ming, Guan Ruming, Deng Zhongxin, Jin Yuanzhe Transcatheter closure of hypertrophic obstructive cardiomyopathy (HOCM) by transcatheter chemical ablation is a new step in interventional cardiology in recent years. It eliminates the hypertrophic myocardium of outflow tract and eliminates outflow tract obstruction by non-surgical procedures. Our hospital has completed 24 cases of HOCM chemical ablation, and now reported its complications. 1 materials and methods 24 patients, male 13 cases, female 11 cases, age (11 ~ 56) years old, average age (31.6 + 18.3) years old, usually with activity of palpitations, chest tightness, dizziness or syncope and other symptoms. Physical examination: the patients in the left sternal border in 3, the 4 intercostal space could be heard and more than grade systolic murmur, echocardiography showed that the left ventricular outflow tract stenosis (signs of left ventricular outflow tract diameter less than 7mm, and positive SAM sign), ventricular septum and posterior wall ratio is more than 1.3, echocardiography measured left ventricular the aortic pressure gradient is greater than or equal to 4.00kP a. The patients were first performed selective coronary angiography under the monitoring of ECG and blood pressure, followed by transcatheter coronary artery septal ablation using Sigwart. First of all through the right femoral vein into the right ventricular pacing electrode, 6F guiding catheter opening from right femoral artery pathway to the left coronary artery (which has been injected into the heparin 3000U, blood heparin), the optimal projection position of fully exposed first ~ 3 interval, 0.014 guide wire into the branch within the interval for ablation and along the guide wire into