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Transseptal catheterization

  • Emile G. Daoud
    Correspondence
    Address reprint requests and correspondence: Dr. Emile Daoud, MidOhio Cardiology & Vascular Consultants, 3705 Olentangy River Road, Room 100, Columbus, Ohio 43214.
    Affiliations
    MidOhio Cardiology & Vascular Consultants, MidWest Research Foundation, Riverside-Methodist Hospital, Columbus, Ohio.
    Search for articles by this author
Published:January 31, 2005DOI:https://doi.org/10.1016/j.hrthm.2004.12.003
      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.
      • Daoud E.G.
      • Kalbfleisch S.J.
      • Hummel J.D.
      Intracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation.
      ,
      • Hung J.S.
      • Fu M.
      • Yeh K.H.
      • Chua S.
      • Wu J.J.
      • Chen Y.C.
      Usefulness of intracardiac echocardiography in transseptal puncture during percutaneous transvenous mitral commissurotomy.
      ,
      • Johnson S.B.
      • Seward J.B.
      • Packer D.L.
      Phased-array intracardiac echocardiography for guiding transseptal catheter placement utility and learning curve.
      ,
      • Brockenbrough E.C.
      • Braunwald E.
      • Ross Jr, J.
      Transseptal left heart catheterization. A review of 450 studies and description of an improved technic.
      ,
      • Gonzalez M.D.
      • Otomo K.
      • Shah N.
      • Arruda M.S.
      • Beckman K.J.
      • Lazzara R.
      • Jackman W.M.
      Transseptal left heart catheterization for cardiac ablation procedures.
      This article describes the technical aspects of performing a transseptal puncture using ICE and fluoroscopic guidance.
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      References

        • Daoud E.G.
        • Kalbfleisch S.J.
        • Hummel J.D.
        Intracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation.
        J Cardiovasc Electrophysiol. 1999; 10: 358-363
        • Hung J.S.
        • Fu M.
        • Yeh K.H.
        • Chua S.
        • Wu J.J.
        • Chen Y.C.
        Usefulness of intracardiac echocardiography in transseptal puncture during percutaneous transvenous mitral commissurotomy.
        Am J Cardiol. 1993; 72: 853-854
        • Johnson S.B.
        • Seward J.B.
        • Packer D.L.
        Phased-array intracardiac echocardiography for guiding transseptal catheter placement.
        Pacing Clin Electrophysiol. 2002; 25: 402-407
        • Brockenbrough E.C.
        • Braunwald E.
        • Ross Jr, J.
        Transseptal left heart catheterization. A review of 450 studies and description of an improved technic.
        Circulation. 1962; 25: 15-21
        • Gonzalez M.D.
        • Otomo K.
        • Shah N.
        • Arruda M.S.
        • Beckman K.J.
        • Lazzara R.
        • Jackman W.M.
        Transseptal left heart catheterization for cardiac ablation procedures.
        J Interv Card Electrophysiol. 2001; 5: 89-95