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Alcohol septal ablation -LRB- ASA , TASH procedure -RRB- is a percutaneous , minimally invasive treatment performed by an interventional cardiologist to relieve symptoms and improve functional status in severely symptomatic patients with hypertrophic cardiomyopathy -LRB- HCM -RRB- who meet strict clinical , anatomic and physiologic selection criteria .. percutaneous. percutaneous. hypertrophic cardiomyopathy. hypertrophic cardiomyopathy. In carefully selected patients , when performed by an experienced interventional cardiologist , the procedure is successful in relieving symptoms in over 90 % of patients .. Hypertrophic cardiomyopathy is a condition of the heart muscle which grows abnormally thick , in the absence of a physiologic cause such as hypertension -LRB- high blood pressure -RRB- or aortic valve disease .. Hypertrophic cardiomyopathy. Hypertrophic cardiomyopathy. hypertension. hypertension. aortic valve. aortic valve. In a large subset of patients with hypertrophic obstructive cardiomyopathy , thickening of the heart muscle in a particular part of the interventricular septum causes obstruction to blood being ejected from the left ventricle .. interventricular septum. interventricular septum. left ventricle. left ventricle. Alcohol septal ablation is a technique designed to reduce the obstruction to blood being ejected from the heart .. The technique creates a small controlled heart attack , killing the area of heart muscle responsible for the obstruction , and eventually causing it to become less thick .. heart attack. heart attack