Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/72700
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Approach to the difficult transseptal: Diathermy facilitated left atrial access |
Author: | Abed, H. Alasady, M. Lau, D. Lim, H. Sanders, P. |
Citation: | Heart Lung and Circulation, 2012; 21(2):108-112 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2012 |
ISSN: | 1443-9506 1444-2892 |
Statement of Responsibility: | Hany S. Abed, Muayad Alasady, Dennis H. Lau, Han S. Lim, and Prashanthan Sanders |
Abstract: | Percutaneous transseptal left atrial (LA) access is increasingly becoming a routine procedure in the electrophysiology and cardiac catheterisation laboratories. Our aim was to review an unselected large series of this procedure performed over a period of five years. We clinically characterised difficult cases and presented a method of safe and expeditious LA access. Overall, 543 transseptal punctures were performed. Of those, 10 were classified as difficult, with failure to access the LA in three or more attempts. In all 10 cases, surgical electrocautery was successfully used to facilitate needle puncture of the septum. All patients subsequently underwent an uncomplicated procedure. In conclusion, we describe a method to trouble-shoot the difficult transseptal access procedure, outlining the clinical characteristics, echocardiographic features and special precautions that need to be considered when utilising this method. |
Keywords: | Transseptal puncture Radiofrequency Left atrial access Body surface area |
Rights: | Crown copyright © 2011 |
DOI: | 10.1016/j.hlc.2011.07.010 |
Published version: | http://dx.doi.org/10.1016/j.hlc.2011.07.010 |
Appears in Collections: | Aurora harvest 5 Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.