How to perform a transseptal puncture

Heart

Volumn 95, Issue 1, 2009, Pages 85-92

  Earley, Mark J ^a  

^a ST BARTHOLOMEW S HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HEPARIN;

ANATOMY; ANGIOPLASTY; ANTICOAGULATION; CATHETER ABLATION; EQUIPMENT; HEART ATRIUM SEPTUM; HEART CATHETERIZATION; HEART ELECTROPHYSIOLOGY; HEART HEMODYNAMICS; HEART LEFT ATRIUM; HEART TAMPONADE; HEART VENTRICLE SEPTUM; HUMAN; MITRAL VALVE REPAIR; NEEDLE BIOPSY; PRIORITY JOURNAL; PUNCTURE; RADIOFREQUENCY ABLATION; REVIEW; TECHNIQUE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSSEPTAL PUNCTURE;

EID: 58349115623     PISSN: 13556037     EISSN: 1468201X     Source Type: Journal    
DOI: 10.1136/hrt.2007.135939     Document Type: Review

References (28)

1. Ross J Jr, Braunwald E, Morrow AG. Left heart catheterization by the transeptal route: a description of the technique and its applications. Circulation 1960; 22:927-34.
2. Brockenbrough EC, Braunwald E, Ross J Jr. Transseptal left heart catheterization. A review of 450 studies and description of an improved technic. Circulation 1962; 25:15-21. The transseptal puncture described by the group that pioneered the technique.
3. Mullins CE. Transseptal left heart catheterization: experience with a new technique in 520 pediatric and adult patients. Pediatr Cardiol 1983; 4:239-45. This paper describes an important modification to the transseptal catheter set and is the current method widely used.
4. De Ponti R, Cappato R, Curnis A, et al. Trans-septal catheterization in the electrophysiology laboratory: data from a multicenter survey spanning 12 years. J Am Coll Cardiol 2006: 47:1037-42. By far the largest observational report of patients undergoing this procedure.
5. Deshpande SS, Bremner S, Sra JS, et al. Ablation of left free-wall accessory pathways using radiofrequency energy at the atrial insertion site: transseptal versus transaortic approach. J Cardiovasc Electrophysiol 1994; 5:219-31.
6. Katritsis D, Giazitzoglou E, Korovesis S, et al. Comparison of the transseptal approach to the transaortic approach for ablation of left-sided accessory pathways in patients with Wolff-Parkinson- White syndrome. Am J Cardiol 2003; 91:610-3.
7. Lesh MD, Van Hare GF, Scheinman MM, et al. Comparison of the retrograde and transseptal methods for ablation of left free wall accessory pathways. J Am Coll Cardiol 1993; 22:542-9.
8. Fagundes RL, Mantica M, De Luca L, et al. Safety of single transseptal puncture for ablation of atrial fibrillation: retrospective study from a large cohort of patients. J Cardiovasc Electrophysiol 2007; 18:1277-81. A series of over 1000 patients describing how a single transseptal puncture can be used to introduce two sheaths into the left atrium for the purpose of ablation of atrial fibrillation.
9. Hammerstingl C, Lickfett L, Jeong KM, et al. Persistence of iatrogenic atrial septal defect after pulmonary vein isolation - an underestimated risk? Am Heart J 2006; 152:362-5.
10. Ren JF, Marchlinski FE, Callans DJ. Left atrial thrombus associated with ablation for atrial fibrillation: identification with intracardiac echocardiography. J Am Coll Cardiol 2004; 43:1861-7.
11. Rogers DP, Lambiase PD, Dhinoja M, et al. Right atrial angiography facilitates transseptal puncture for complex ablation in patients with unusual anatomy. J Interv Card Electrophysiol 2006; 17:29-34. This paper describes a useful adjunctive technique in difficult cases.
12. Hung JS, Fu M, Yeh KH, et al. Usefulness of intracardiac echocardiography in complex transseptal catheterization during percutaneous transvenous mitral commissurotomy. Mayo Clin Proc 1996; 71:134-40.
13. Wazni OM, Beheiry S, Fahmy T, et al. Atrial fibrillation ablation in patients with therapeutic international normalized ratio: comparison of strategies of anticoagulation management in the periprocedural period. Circulation 2007; 116:2531-4.
14. Daoud EG, Kalbfleisch SJ, Hummel JD. Intracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation. J Cardiovasc Electrophysiol 1999; 10:358-63. An original description of intracardiac echocardiography to facilitate the transseptal puncture by one of its leading proponents.
15. Szili-Torok T, Kimman G, Theuns D, et al. Transseptal left heart catheterisation guided by intracardiac echocardiography. Heart 2001; 86:e11.
16. Cheng A, Calkins H. A conservative approach to performing transseptal punctures without the use of intracardiac echocardiography: stepwise approach with real-time video clips. J Cardiovasc Electrophysiol 2007; 18:686-9.
17. Haruta S, Kouno H, Akanuma H, et al. The guidewire technique for transseptal puncture. J Invasive Cardiol 2005; 17:68-70.
18. Marcus GM, Ren X, Tseng ZH, et al. Repeat transseptal catheterization after ablation for atrial fibrillation. J Cardiovasc Electrophysiol 2007; 18:55-9.
19. Bidart C, Vaseghi M, Cesario DA, et al. Radiofrequency current delivery via transseptal needle to facilitate septal puncture. Heart Rhythm 2007; 4:1573-6. approach as an alternative to transseptal needle puncture. Catheter Cardiovasc Interv 2005; 64:327-32.
20. Perry JC, Boramanand NK, Ing FF. 'Transseptal" technique through atrial baffles for 3-dimensional mapping and ablation of atrial tachycardia in patients with d-transposition of the great arteries. J Interv Card Bectrophysiol 2003; 9:365-9.
21. El Said HG, Ing FF, Grifka RG, et al. 18-year expenence with transseptal procedures through baffles, conduits, and other intraatrial patches. Catheter Cardiovasc Interv 2000; 50:434-9.
22. Abrams DJ. Invasive electrophysiology in paediatric and congenital heart disease. Heart 2007; 93:383-91.
23. Deisenhofer I, Estner H, Pflaumer A, et al. Atypical access to typical atrial flutter. Heart Rhythm 2005; 2:93-6.
24. Zaker-Shahrak R, Fuhrer J, Meier B. Transseptal puncture for catheter ablation of atrial fibrillation after device closure of patent foramen ovale. Catheter Cardiovasc Interv 2008; 71:551-2.
25. Arita T, Kubota S, Okamoto K. Bezold-Jarisch-like reflex during Brockenbrough's procedure for radiofrequency catheter ablation of focal left atrial fibrillation: report of two cases J Interv Card Bectrophysiol 2003; 8:195-202.
26. Letsas KP, Pappas LK, Gavrielatos G, et al. ST-segment elevation induced duhng the transseptal procedure for radiofrequency catheter ablation of atrial fibrillation. Int J Cardiol 2007; 114:e12-14.
27. Hara H, Virmani R, Ladich E, et al. Patent foramen ovale: current pathology, pathophysiology, and clinical status. J Am Coll Cardiol 2005; 46:1768-76.
28. Rillig A, Meyerfeldt U, Birkemeyer R, et al. Persistent iatrogenic atrial septal defect after pulmonary vein isolation: incidence and clinical implications. J Interv Card Bectrophysiol 2008; 22:177-81.