Transseptal Puncture: A Step-by-Step Procedural Guide
Knowledge of interatrial septum anatomy, appropriate equipment, and proper technique are key to successful transseptal puncture.
Transseptal puncture: procedural guidance, challenging …
To achieve a successful procedure and to avoid complications, an in-depth knowledge of interatrial septum (IS) anatomy, available equipment, correct imaging guidance, and procedural steps is needed.
Transseptal Puncture—Basics and Practical Considerations
2023年2月14日 · With widespread uptake of structural heart procedures, transseptal puncture (TSP) is now an essential part of the tool kit for interventional cardiologists. Complications are rare, in the range of 1%. 1 However, they can be life-threatening; hence, it is essential to ensure safe TSP practices.
Transseptal Techniques for Emerging Structural Heart Interventions
In this paper we aim to: 1) provide an overview of the established and emerging indications for TSP; 2) describe the contemporary techniques of TSP, with an emphasis on the role of multimodality imaging and site-specific puncture; and 3) provide a systematic approach to aid in the management of challenging transseptal access and procedural compl...
Transseptal puncture: procedural guidance, challenging situations and ...
This article provides an overview of the transseptal puncture technique including equipment, imaging, steps, managing challenges and complications.
Transseptal access is widely used for accessory pathway and ventricular tachycardia ablation; however, the huge increase in its use is due to AF cases.4 Radiofrequency ablation of atrioventricular accessory pathways that span the mitral valve annulus can be performed via a transseptal puncture (anterogradely) or via the aorta and left ventricle ...
How to Perform a Transseptal Puncture | Thoracic Key
2018年8月27日 · For the electrophysiologist, this technique is essential, as it allows for endocardial mapping and ablation of left-sided bypass tracts, LA tachycardia, AF, and ventricular tachycardia (VT).
Transseptal puncture: Review of anatomy, techniques, …
Transseptal puncture has become a routinely used technique in line with the increase of mitral and left atrial procedures. Despite being safe in experienced hands, TSP-related complications are dreadful, and early diagnosis is paramount.
How to perform a transseptal puncture - Heart
The transseptal puncture permits a direct route to the LA via the intra-atrial septum and systemic venous system. Previously the technique was used infrequently by cardiologists for mitral valvuloplasty and ablation in the left heart; however, the explosion of interest in catheter ablation of atrial fibrillation (AF) has meant the transseptal ...
Techniques of transseptal puncture | Thoracic Key
2021年1月3日 · Although the use of transseptal puncture (TSP) for hemodynamic assessment had since declined due to the wider application of right heart catheterization, TSP is currently considered an essential component of many valvular and nonvalvular structural heart disease (SHD) interventions ( Fig. 5.1 ).
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