Troubleshooting Difficult Transseptal Catheterization

Troubleshooting Difficult Transseptal Catheterization. Transseptal catheterization is an essential aspect of many electrophysiology studies. Difficulties may present at various stages of the procedure, especially with unique challenges posed by repeated catheterizations. More recently, technologies...

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Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2011-06, Vol.22 (6), p.723-727
Main Authors: SY, RAYMOND W., KLEIN, GEORGE J., LEONG-SIT, PETER, GULA, LORNE J., YEE, RAYMOND, KRAHN, ANDREW D., SKANES, ALLAN C.
Format: Article
Language:English
Subjects:
atrial fibrillation
Body Surface Potential Mapping - methods
Cardiac Catheterization - methods
catheter ablation
Heart Septum - diagnostic imaging
Heart Septum - surgery
Humans
intracardiac echocardiography
pulmonary vein isolation
Punctures - methods
transseptal catheterization
Ultrasonography, Interventional - methods
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Summary:Troubleshooting Difficult Transseptal Catheterization. Transseptal catheterization is an essential aspect of many electrophysiology studies. Difficulties may present at various stages of the procedure, especially with unique challenges posed by repeated catheterizations. More recently, technologies such as intracardiac echocardiography and radiofrequency have been employed to assist with transseptal catheterization. Integration of these tools into an organized approach for troubleshooting the difficult transseptal puncture is likely to improve procedural success and reduce the risk of serious complications such as cardiac tamponade. (J Cardiovasc Electrophysiol, Vol. 22, pp. 723‐727, June 2011)
ISSN:1045-3873
1540-8167
DOI:10.1111/j.1540-8167.2010.01987.x