Literature DB >> 35945310

First experience with a transseptal puncture using a novel transseptal crossing device with integrated dilator and needle.

Sergio Rizzi1, Luigi Pannone1, Gian Battista Chierchia2, Carlo De Asmundis1, Cinzia Monaco1, Antonio Bisignani1, Vincenzo Miraglia1, Anais Gauthey1, Gezim Bala1, Maysam Al Housari1, Felicia Lipartiti1, Joerelle Mojica1, Alvise Del Monte1, Sahar Mouram1, Juan Sieira1, Erwin Ströker1, Alexandre Almorad1, Saverio Iacopino1.   

Abstract

BACKGROUND: This study aimed to evaluate the feasibility and safety of an innovative "all in one" integrated transseptal crossing device to achieve transseptal puncture (TSP).
METHODS: Twenty patients (10 males, mean age 65.65 ± 9.25 years), indicated to supraventricular left side tachyarrhythmia ablation, underwent TSP using a new-generation integrated crossing device, and a control cohort of twenty patients (10 males, mean age 65.5 ± 10.12 years) underwent TSP using the traditional TSP system.
RESULTS: In all the study patients, the novel TSP device led to a successful and safe access to the left atrium (LA). The mean transseptal time, defined as the time occurring between the groin puncture and the advancing of the guidewire into the left superior pulmonary vein (PV), was 3 min 33 s ± 44 s, 7 min 5 s ± 36 s in the control cohort. Additionally, we compared the cost of the two systems. No acute complications related to the TSP were noted in both cohorts.
CONCLUSIONS: TSP performed with the new integrated transseptal system is feasible and safe.
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Entities:  

Keywords:  Ablation; Atrial fibrillation; Atrial septum; Transseptal puncture

Year:  2022        PMID: 35945310     DOI: 10.1007/s10840-022-01329-3

Source DB:  PubMed          Journal:  J Interv Card Electrophysiol        ISSN: 1383-875X            Impact factor:   1.759


  5 in total

1.  Coronary air embolism complicating transseptal radiofrequency ablation of left free-wall accessory pathways.

Authors:  M D Lesh; D L Coggins; T A Ports
Journal:  Pacing Clin Electrophysiol       Date:  1992-08       Impact factor: 1.976

2.  Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions.

Authors:  Frank E Silvestry; Meryl S Cohen; Laurie B Armsby; Nitin J Burkule; Craig E Fleishman; Ziyad M Hijazi; Roberto M Lang; Jonathan J Rome; Yan Wang
Journal:  J Am Soc Echocardiogr       Date:  2015-08       Impact factor: 5.251

3.  Feasibility, safety, and outcome of a challenging transseptal puncture facilitated by radiofrequency energy delivery: a prospective single-centre study.

Authors:  Lucio Capulzini; Gaetano Paparella; Antonio Sorgente; Carlo de Asmundis; Gian Battista Chierchia; Andrea Sarkozy; Andreas Muller-Burri; Yoshinao Yazaki; Markus Roos; Pedro Brugada
Journal:  Europace       Date:  2010-02-23       Impact factor: 5.214

4.  Over-the-needle trans-septal access using the cryoballoon delivery sheath and dilator in atrial fibrillation ablation.

Authors:  Erwin Ströker; Yves De Greef; Bruno Schwagten; Kaspars Kupics; Hugo Enrique Coutiño; Ken Takarada; Juan Pablo Abugattas; Francesca Salghetti; Jeroen De Cocker; Dirk Stockman; Juan Sieira; Pedro Brugada; Gian-Battista Chierchia; Carlo de Asmundis
Journal:  Pacing Clin Electrophysiol       Date:  2019-05-13       Impact factor: 1.976

5.  Prospective comparison between conventional transseptal puncture and transseptal needle puncture with radiofrequency energy.

Authors:  Stéphane Fromentin; Jean-François Sarrazin; Jean Champagne; Isabelle Nault; François Philippon; Franck Molin; Louis Blier; Gilles O'Hara
Journal:  J Interv Card Electrophysiol       Date:  2011-04-19       Impact factor: 1.900

  5 in total

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