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The use of a novel nitinol guidewire to facilitate transseptal puncture and left atrial catheterization for catheter ablation procedures.
- Source :
-
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2011 Oct; Vol. 13 (10), pp. 1401-5. Date of Electronic Publication: 2011 Aug 08. - Publication Year :
- 2011
-
Abstract
- Aims: An increasing number of transseptal punctures (TSPs) are performed worldwide for atrial ablations. Transseptal punctures can be complex and can be associated with potentially life threatening complications. The purpose of the study was to evaluate the safety and efficacy of a novel transseptal guidewire (TSGW) designed to facilitate TSPs.<br />Methods and Results: Transseptal punctures were performed using a SafeSept TSGW passed through a standard TSP apparatus. Transseptal punctures were performed by standard technique with additional use of a TSGW allowing probing of the interatrial septum without needle exposure and penetration of the fossa into the left atrium (LA). Transseptal puncture using the TSGW was performed in 210 patients. Left atrial access was achieved successfully in 205 of 210 patients (97.6%) and in 96.3% of patients undergoing repeat TSP. Left atrial access was achieved with the first pass in 81.2% (mean 1.4 ± 0.9 passes, range 1-6) using the TSGW. No serious complications were attributable to the use of the TSGW, even in cases of failed TSP.<br />Conclusions: The TSGW is associated with a high success rate for TSP and may be a useful alternative to transoesophageal or intracardiac echocardiogram-guided TSP.
- Subjects :
- Adult
Aged
Aged, 80 and over
Cardiac Catheterization adverse effects
Cardiac Catheterization instrumentation
Equipment Failure
Female
Fluoroscopy
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Alloys
Atrial Fibrillation surgery
Atrial Septum
Cardiac Catheterization methods
Catheter Ablation methods
Heart Atria
Punctures instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2092
- Volume :
- 13
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 21828065
- Full Text :
- https://doi.org/10.1093/europace/eur155