The use of a radiofrequency needle improves the safety and efficacy of transseptal puncture for atrial fibrillation ablation

Heart Rhythm

Volumn 8, Issue 9, 2011, Pages 1411-1415

  Winkle, Roger A ^a,b   Mead, R Hardwin ^a,b   Engel, Gregory ^a,b   Patrawala, Rob A ^a,b  

^a Cardiovascular Medicine and Cardiac Arrhythmias   (United States)

^b SEQUOIA HOSPITAL   (United States)

Author keywords

Atrial fibrillation; Atrial fibrillation ablation; Transseptal catheterization

Indexed keywords

ADULT; ARTICLE; CLINICAL EFFECTIVENESS; ELECTRODE; FEMALE; HEART ATRIUM FIBRILLATION; HEART ATRIUM SEPTUM; HEART TAMPONADE; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; NEEDLE; PATIENT SAFETY; PRIORITY JOURNAL; PUNCTURE; RADIOFREQUENCY ABLATION; RADIOFREQUENCY NEEDLE; RETROSPECTIVE STUDY; TRANSSEPTAL PUNCTURE; TREATMENT DURATION; TREATMENT FAILURE; CATHETER ABLATION; EVALUATION; INSTRUMENTATION; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATHOLOGY; TREATMENT OUTCOME;

ATRIAL FIBRILLATION; ATRIAL SEPTUM; CATHETER ABLATION; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEEDLES; TREATMENT OUTCOME;

EID: 84855512502     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2011.04.032     Document Type: Article

References (18)

1. Ross J Jr, Braunwald E, Morrow AG. Transseptal left atrial puncture: New technique for the measurement of left atrial pressure in man. Am J Cardiol 1959;3:653- 655.
2. Cope C. Technique for transseptal catheterization of the left atrium: Preliminary report. J Thorac Surg 1959;37:482- 486.
3. Brockenbrough EC, Braunwald E, Ross J Jr. Transseptal left heart catheterization: A review of 450 studies and description of an improved technique. Circulation 1962;25:15-21.
4. Tzeis S, Andrikopoulos G, Deisenhofer I, Ho SY, Theodorakis G. Transseptal catheterization: Considerations and caveats. Pacing Clin Electrophysiol 2010;33: 231-242.
5. Veldtman GR, Wilson GJ, Peirone A, et al. Radiofrequency perforation and conventional needle percutaneous transseptal left heart access: Pathological features. Cathet Cardiovasc Interv 2005;65:556 -564.
6. Crystal MA, Mirza MA, Benson LN. A radiofrequency transseptal needle: Initial animal studies. Cathet Cardiovasc Interv 2010;76:769 -773.
7. Benson LN, Nykanen D, Collison A. Radiofrequency perforation in the treatment of congenital heart disease. Cathet Cardiovasc Interv 2002;56:72- 82.
8. Shimko N, Savard P, Shah K. Radiofrequency perforation of cardiac tissue: Modeling and experimental results. Med Biol Eng Comput 2000;38:575-582.
9. Shah DP, Knight BP. Transseptal catheterization using a powered radiofrequency transseptal needle. J Interv Card Electrophysiol 2010;27:15-16.
10. Smelley MP, Shah DP, Weisberg I, et al. Initial experience using a radiofrequency powered transseptal needle. J Cardiovasc Electrophysiol 2010;21:423- 427.
11. Calkins H, Brugada J, Packer DL, et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. Heart Rhythm 2007;4: 1-46.
12. Winkle RA, Mead RH, Engel G, Patrawala RA. A trial fibrillation ablation: Perpetual motion of open irrigated tip catheters at 50 watts is safe and improves outcomes. Pacing Clin Elecrophysiol 2011;34:531-539.
13. Winkle RA, Mead RH, Engel G, Patrawala RA. Safety of lower activated clotting times during atrial fibrillation ablation using open irrigated tip catheters and a single transseptal puncture. Am J Cardiol 2011;107:704 -708.
14. Roelke M, Smith AJC, Palacios IF. The technique and safety of transseptal left heart catheterization: The Massachusetts General Hospital Experience with 1,279 procedures. Cathet Cardiovasc Diagn 1994;32:332-339.
15. Cappato R, Calkins H, Chen SA, et al. Updated worldwide survey on the methods, efficacy and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol 2010;3:32-38.
16. Ellis ER, Culler SD, Simon AW, Reynolds MR. Trends in utilization and complications of catheter ablation for atrial fibrillation in Medicare beneficiaries. Heart Rhythm 2009;6:1267-1273.
17. Calkins H, Reynolds MR, Spector P, et al. Treatment of atrial fibrillation with antiarrhythmic drugs or RF ablation: Two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol 2009;2:349 -361.
18. Feld GK, Tiongson J, Oshodi G. Particle formation and risk of embolization during transseptal catheterization: Comparison of standard transseptal needles and a new radiofrequency transseptal needle. J Interv Card Electrophysiol 2011;30:31-36.