Radiationless transseptal puncture

Radiationless transseptal puncture

Thrombotic cardiac tamponade after transseptal puncture

An 84-year-old woman was admitted for catheter ablation of long-standing, permanent AF. Her previous medical history consisted of long-standing arterial hypertension and persistent AF diagnosed 3 years ago. She had undergone circumferential pulmonary vein (PV) isolation (ie, linear ablation around the PV antra with subsequent verification of PV isolation) and repeat ablation of a macroreentrant...

Percutaneous Approach, Including Transseptal and Apical Puncture

In contrast with the direct brachial technique (see Chapter 5), the percutaneous approach to left and right heart catheterization achieves vascular access by needle puncture , and thus obviates surgical isolation of the vessel during either the insertion or the subsequent withdrawal of the cardiac catheter. Once the needle has been positioned within the vessel lumen, a flexible guidewire is adv...

A transseptal puncture hazard that was close!

Introduction The possible complications of transseptal puncture occur in approximately 1% of procedures. In the electrophysiology setting, increased pericardial effusion or tamponade risk is associated with left-sided arrhythmia ablations. Reported complications relate to aortic puncture or left/right atrial free wall perforation. There is much anatomical variation in the intra-atrial septum an...

How to perform a transseptal puncture.

These include: Data supplement http://heart.bmj.com/cgi/content/full/95/1/85/DC1 "web only appendices" References http://heart.bmj.com/cgi/content/full/95/1/85#BIBL This article cites 29 articles, 9 of which can be accessed free at: Rapid responses http://heart.bmj.com/cgi/eletter-submit/95/1/85 You can respond to this article at: service Email alerting the top right corner of the article Recei...