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Use of an Angioplasty Wire to Perforate the Interatrial Septum for a Difficult Transseptal Puncture

Ahsan, SY; Wright, S; Lambiase, PD; McCready, JW; Chow, AW; (2010) Use of an Angioplasty Wire to Perforate the Interatrial Septum for a Difficult Transseptal Puncture. PACE , 33 (2) 243 - 245. 10.1111/j.1540-8159.2009.02572.x.

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Abstract

With the expansion in catheter-based treatments for atrial fibrillation the number of transseptal punctures being performed by cardiac electrophysiologists has increased significantly. Although in general transseptal puncture is successful, in a small percentage of cases it cannot be achieved due to complex intraatrial anatomy. We report the case of a difficult transseptal puncture (TSP), performed where the conventional approach using a Brockenbrough needle sheath was unable to perforate the septum. TSP was only achieved using a novel technique assisted by an angioplasty wire. (PACE 2010; 33:243-245).

Type: Article
Title: Use of an Angioplasty Wire to Perforate the Interatrial Septum for a Difficult Transseptal Puncture
DOI: 10.1111/j.1540-8159.2009.02572.x
Keywords: transseptal, ablation, atrial fibrillation, fossa ovalis, angioplasty wire, transesophageal echo, ATRIAL-FIBRILLATION, CATHETERIZATION, ABLATION, SAFETY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science > Clinical Science
URI: http://discovery.ucl.ac.uk/id/eprint/50923
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