What is septal ablation, Biology

Assignment Help:

What is Septal Ablation (TASH/PTSMA) ?

This is a nonsurgical interventional treatment. The septal myocardium supplied by 1st septal branch of left anterior descending artery is destroyed by alcohol, by percutaneous technique.

It creates limited myocardial infarction and reduces LV outflow obstruction. It reduces mitral incompetence and improves relaxation. Improvement occurs in almost 90 per cent.

However there is some concern about 2 complications viz. Heart block which needs pacing in a few patients. There is a theoretical concern that myocardial scar that follows infarction might lead to ventricular arrhythmias. It is therefore a preferred option in patients who already have a pacemaker.

ICD in place or where surgery is contraindicated because of other medical conditions. It is however being widely used in select centres.

ICD Implantation

It is used as a method of secondary prevention for cardiac arrest or history of sustained hemodynamically unstable ventricular tachycardia. For primary prevention, it is used with history of sudden death in family with history of sustained ventricular tachycardia.

Surgical

Septal Myotomy/Myectomy (Fig 5.8) it is widely used. About 5 gms. of hypertrophied septum are removed using a tranaortic approach (Morrow procedure). It gives sysmptomatic relief in almost 70-90 per cent of patients. It should be preferred in younger patients and in
whom septal ablation has failed. Occasionally mitral valve replacement or suture plication of
anterior mitral leaflet are also employed.


Related Discussions:- What is septal ablation

Portal circulation, POR T AL CIRCULATION When a vein branches into se...

POR T AL CIRCULATION When a vein branches into set of capillary to distribute blood in some parts, such venous circulation is called portal system. Three types of portal syst

Which term explains flow characteristic of blood, Which of the below terms ...

Which of the below terms is used to explain the study of factors which influence flow characteristics of blood as it moves through the body? Is it: a) Anginology b) Hemodyna

Define energy requirement during thyphoid, Energy Energy: Fever  is cha...

Energy Energy: Fever  is characterized by  elevation of BMR,  thus caloric requirements are increased.. The increase  in  caloric needs is dependent on  severity  of  infection

Enzyme model, allosteric regulation project idea

allosteric regulation project idea

Vitamins, write a comprehensive note on vitamins?

write a comprehensive note on vitamins?

Classification of living organisms – species, Classification of Living Orga...

Classification of Living Organisms – Species You have by now already come across the word 'species'. The word has a definite meaning in biology. Although the living world is v

General preventive measures for animals, GENERAL PREVENTIVE MEASURES - ...

GENERAL PREVENTIVE MEASURES - 1.      Infected animal should be immediately isolated and looked after. 2.      The premises should be disinfected whenever there is an outbre

Sour taste, Sour taste is usually due to the presence of acids such as acet...

Sour taste is usually due to the presence of acids such as acetic acid, citric acid, benzoic acid. Upon dissociation, the acids give H ions which impart acidity. More the H ion con

Linkage of health with development, Linkage of Health With Development ...

Linkage of Health With Development Health, in its comprehensive or holistic sense, refers to the state of completephysical, mental, social and spiritual well being of a person.

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd