Transseptal catheterization through the atrial septum has become a useful skill for
electrophysiologists. The challenge for a successful transseptal puncture is positioning
the Brockenbrough needle at the thinnest aspect of the atrial septum, the membranous
fossa ovalis, guided by either intracardiac echocardiography (ICE) or fluoroscopy.
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This article describes the technical aspects of performing a transseptal puncture
using ICE and fluoroscopic guidance.To read this article in full you will need to make a payment
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References
- Intracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation.J Cardiovasc Electrophysiol. 1999; 10: 358-363
- Usefulness of intracardiac echocardiography in transseptal puncture during percutaneous transvenous mitral commissurotomy.Am J Cardiol. 1993; 72: 853-854
- Phased-array intracardiac echocardiography for guiding transseptal catheter placement.Pacing Clin Electrophysiol. 2002; 25: 402-407
- Transseptal left heart catheterization. A review of 450 studies and description of an improved technic.Circulation. 1962; 25: 15-21
- Transseptal left heart catheterization for cardiac ablation procedures.J Interv Card Electrophysiol. 2001; 5: 89-95
Article info
Publication history
Published online: January 31, 2005
Identification
Copyright
© 2005 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.
