Dramatic Aneurysmal Atrial Septum Identified with Intracardiac Echo Complicating Transseptal Puncture

Chen, Crystal B.; Sandhu, H.S.; Keane, Martin; Dass, Chandra; Whitman, Isaac R.

doi:10.1016/j.case.2019.11.005

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Cases Of Challenging Transseptal Catheterisation1

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2023

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“…Direct visualisation of the IAS with ICE is of paramount importance in these cases, given that the forward pressure applied by the dilator can place the TSC apparatus close to the lateral wall of the LA and risk perforation. [ 17 ] This does not allow much room in the LA once the needle crosses the IAS and several techniques can be used to facilitate safe TSC. One manoeuvre is the use of ICE to point the needle in a direction that maximises the space in the LA.…”

Section: Cases Of Challenging Transseptal Catheterisationmentioning

confidence: 99%

Atrial Transseptal Catheterisation: Challenging Scenarios and Techniques to Overcome Them

Mirwais

2023

Arrhythm Electrophysiol Rev

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Atrial transseptal catheterisation is a fundamental skill of any interventional electrophysiologist. In this review, various scenarios that pose unique challenges to atrial transseptal catheterisation are discussed. These scenarios include post-surgical or congenital malformations of the interatrial septum, presence of interatrial septal closure devices, absent or obstructed inferior vena cava and complex congenital heart disease after palliative surgery. Transseptal catheterisation in all of the above situations is feasible and can be performed safely with the aid of dedicated tools and specific techniques.

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Section: Cases Of Challenging Transseptal Catheterisationmentioning

confidence: 99%

Atrial Transseptal Catheterisation: Challenging Scenarios and Techniques to Overcome Them

Mirwais

2023

Arrhythm Electrophysiol Rev

View full text Add to dashboard Cite

show abstract

Dramatic Aneurysmal Atrial Septum Identified with Intracardiac Echo Complicating Transseptal Puncture

Cited by 1 publication

References 18 publications

Atrial Transseptal Catheterisation: Challenging Scenarios and Techniques to Overcome Them

Atrial Transseptal Catheterisation: Challenging Scenarios and Techniques to Overcome Them

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