Evidence map›Paper›PMID 41400614›Full record

ArticleJACC. Case reports2026

Septal Embolization Using Ethylene Vinyl Alcohol Copolymer in Hypertrophic Obstructive Cardiomyopathy: 1-Year Follow-Up.

Rômulo Francisco de Almeida Torres, Sarah Fagundes Grobe, Larissa de Oliveira Rengel de Souza, Daniel Reis Tosoni, Ana Paula Norberto Sbalqueiro, Rafael de Almeida Torres, Gustavo Gavazzoni Blume, Rafael Augusto Magri, Guilherme Barreto Gameiro Silva, Sidney Mugnoz

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rômulo Francisco de Almeida TorresHospital São Marcelino Champagnat, Curitiba, Brazil. Electronic address: romatorres@hotmail.com.
Sarah Fagundes GrobeHospital São Marcelino Champagnat, Curitiba, Brazil.
Larissa de Oliveira Rengel de SouzaHospital São Marcelino Champagnat, Curitiba, Brazil.
Daniel Reis TosoniHospital São Marcelino Champagnat, Curitiba, Brazil.
Ana Paula Norberto SbalqueiroHospital São Marcelino Champagnat, Curitiba, Brazil.
Rafael de Almeida TorresHospital São Marcelino Champagnat, Curitiba, Brazil.
Gustavo Gavazzoni BlumeHospital São Marcelino Champagnat, Curitiba, Brazil.
Rafael Augusto MagriHospital São Marcelino Champagnat, Curitiba, Brazil.
Guilherme Barreto Gameiro SilvaHospital São Marcelino Champagnat, Curitiba, Brazil.
Sidney MugnozLaboratório de Hemodinâmica e Cardiologia Intervencionista do Centro-Oeste, Cuiabá, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertrophic obstructive cardiomyopathy (HOCM) is a genetic cardiac disorder characterized by left ventricular outflow tract obstruction due to septal hypertrophy and mitral regurgitation. When medical therapy is insufficient, invasive strategies such as surgical myectomy or percutaneous septal ablation are considered. Alcohol septal ablation is the most common percutaneous option for patients unfit for surgery. However, concerns about the cardiotoxicity of alcohol, the risk of arrhythmias, and pacemaker have prompted exploration of safer alternatives. CASE SUMMARY: We report the case of a 71-year-old woman with symptomatic HOCM who underwent septal embolization using Onyx, a nonalcoholic embolic agent. The patient experienced significant symptomatic and hemodynamic improvement, sustained over 12 months. DISCUSSION: Although alcohol septal ablation remains the standard percutaneous option, Onyx provided targeted septal infarction under fluoroscopic guidance without alcohol-related toxicity. TAKE-HOME MESSAGE: Onyx may be a promising and safe alternative for septal reduction in selected HOCM patients.

Indexed as

ethylene-vinyl alcohol copolymerEVOHfibrosishemodynamicshypertrophic cardiomyopathyhypertrophic obstructive cardiomyopathyseptal ablationseptal reduction therapyventricular outflow obstruction

Identifiers

PMID41400614
PMCPMC12881265

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.