Fixed, high-volume alcohol dose for septal ablation: High risk with no benefit

Abstract

Alcohol volume is positively correlated with mortality following alcohol septal ablation (ASA). Over time, there has been a trend to use lower volumes of alcohol for ASA. Most cases can and should be performed using 1-2 cc of alcohol. The volume of alcohol utilized during septal ablation should be determined by anatomic and clinical features of the individual patient.