Complication prevention in ablation procedures: How to perform transseptal puncture safely in case of atrial septum aneurysm

Stöckigt, Florian; Eberhardt, Frank; Horlitz, Marc

doi:10.1016/j.hrcr.2019.06.004

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…Considered the currently suggested method for LA size estimation, left atrial volume evaluation utilizing the discs formula, obtained from twodimensional TTE, tends to provide a more accurate assessment of LA size (12) .…”

Section: Discussionmentioning

confidence: 99%

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Left Atrial Volume Assessment in Atrial Fibrillation Patients undergoing Ablation, using 2-D Echocardiography and Invasive Three-Dimensional CARTO and its Predictive Value in Recurrence of Atrial Fibrillation after Ablation

2023

The Egyptian Journal of Hospital Medicine

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Background: The most prevalent cardiac arrhythmia, atrial fibrillation (AF), is expected to affect around 16 million people worldwide by 2050. Because AF is linked to increased mortality, thromboembolic strokes, myocardial infarction, and heart failure, it costs the US health care system over $6 billion yearly. Aim of the Work: This study aimed to assess left atrial volume (LAV) in atrial fibrillation patients using non-invasive echocardiography and invasive 3D mapping (CARTO) and to assess its predictive value in recurrence of atrial fibrillation after ablation. Patient and methods: The study was conducted on 42 consecutive patients with non-valvular AF who underwent pulmonary vein isolation and came to follow up in the Outpatient Clinic of the

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Section: Discussionmentioning

confidence: 99%

“…A radiopaque marker (arrow) was visible on the piercing wire, situated directly distal to the atraumatic tip. The upper branch of the left inferior pulmonary vein was the pulmonary vein into which the puncture wire (arrow) was cautiously introduced (12) .…”

Section: Af Ablation Procedurementioning

confidence: 99%

Left Atrial Volume Assessment in Atrial Fibrillation Patients undergoing Ablation, using 2-D Echocardiography and Invasive Three-Dimensional CARTO and its Predictive Value in Recurrence of Atrial Fibrillation after Ablation

2023

The Egyptian Journal of Hospital Medicine

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“…TSP could be challenging in patients with atrial septum aneurysm, thickened interatrial septum (IAS), or previous history of TSP, which can increase the risk of adverse events. 11 New and innovative TS needle designs may address some of these challenges. Versacross™ RF wire (Baylis Medical)-a radiofrequency tipped pigtail wire that can act as an exchange rail-used in combination with preshaped or steerable TS sheath may reduce iatrogenic complications associated with left atrial laceration.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The transseptal puncture experience: Safety insights from FDA MAUDE database

Morcos

Megaly

Desai

et al. 2021

Cathet Cardio Intervent

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Background: There is a paucity of literature on safety and efficacy of various transseptal puncture (TSP) needles.Objectives: To assess the reported mechanisms of failure, complications, and outcomes among the most frequently used transseptal needles in the United States. Methods: We queried the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database between January 2011 and January 2021 for reports on the most commonly used transseptal needles: NRG (Baylis Medical, Montreal, Canada), and BRK (St. Jude, Saint Paul, MN)]. The primary outcome was the mechanism of failure. Secondary outcomes included clinical consequences of device failure.Results: The final analysis included 306 reports of failure/complication with TSP needles (NRG n = 70, BRK n = 236). The most commonly reported mode of failure was detachment of the needle component (i.e., clip, hub, stopcock, shaft, spring, or needle tip) (14.7% overall; 17.8% BRK; and 4.3% NRG). Among these reports, cardiac perforation was the most common complication (69.9% overall; 69.1% for BRK; and 72.9% for NRG). Pericardiocentesis was the second most commonly reported complication (45.1% overall; 48.3% for BRK; and 34.3% for NRG). The procedure was successfully completed in 33.3% of all cases (36.4% for BRK and 22.9% for NRG), while surgical conversion was needed in (13.4% overall; 14% for BRK and 11.4% for NRG) of the reports. Death occurred in 3.9% of all cases overall (3.4% for BRK and 5.7% for NRG).

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“…Topics have included approaches to pediatric syncope with exercise, by Malloy-Walton and Tisma-Dupanovic, 1 and performing transseptal puncture safely in cases of atrial septum aneurysm, by St€ ockigt and colleagues. 2 Each issue will continue to feature one of these educational cases. These cases also include online quizzes that can be used for study and article content review.…”

Complication prevention in ablation procedures: How to perform transseptal puncture safely in case of atrial septum aneurysm

Cited by 5 publications

References 19 publications

Left Atrial Volume Assessment in Atrial Fibrillation Patients undergoing Ablation, using 2-D Echocardiography and Invasive Three-Dimensional CARTO and its Predictive Value in Recurrence of Atrial Fibrillation after Ablation

Left Atrial Volume Assessment in Atrial Fibrillation Patients undergoing Ablation, using 2-D Echocardiography and Invasive Three-Dimensional CARTO and its Predictive Value in Recurrence of Atrial Fibrillation after Ablation

The transseptal puncture experience: Safety insights from FDA MAUDE database

State of the Journal 2020: Heart Rhythm Case Reports

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