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Transseptal left heart catheterisation guided by intracardiac echocardiography.
Heart. 2001 Nov; 86(5):E11.H

Abstract

OBJECTIVE

To develop a novel approach of transseptal puncture guided by intracardiac echocardiography and to assess its efficacy.

METHODS

Transcatheter intracardiac echocardiography with a 9 MHz rotating transducer was performed to guide transseptal puncture in 12 patients (mean age 43.1 years, range 31-68) who underwent radiofrequency catheter ablation of left sided accessory pathways. Initially, the echocardiography and transseptal catheters were placed adjacent to each other in the superior vena cava and were withdrawn to the level of the fossa ovalis.

RESULTS

The successful puncture site was associated with visualisation of the fossa ovalis (12 patients, 100%) and the aorta (12 patients, 100%), tenting of the fossa (six patients, 50%), penetration of the needle visualised by the ultrasound catheter (12 patients, 100 %), and echocardiographic contrast material applied in the left atrium (12 patients, 100%). The characteristic jump of the needle onto the fossa ovalis was observed simultaneously with fluoroscopy and intracardiac ultrasound (12 patients, 100%). All procedures were successful. There were no complications associated with the transseptal procedure.

CONCLUSIONS

Intracardiac echocardiography is feasible to guide transseptal puncture. The optimal puncture site can be assessed by simultaneous detection of the characteristic downward jump of the transseptal needle onto the fossa ovalis by intracardiac ultrasound and fluoroscopy.

Authors+Show Affiliations

Department of Cardiology, Thoraxcentre, Erasmus Medical Centre Rotterdam, Dr Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. szili@card.azr.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11602562

Citation

Szili-Torok, T, et al. "Transseptal Left Heart Catheterisation Guided By Intracardiac Echocardiography." Heart (British Cardiac Society), vol. 86, no. 5, 2001, pp. E11.
Szili-Torok T, Kimman G, Theuns D, et al. Transseptal left heart catheterisation guided by intracardiac echocardiography. Heart. 2001;86(5):E11.
Szili-Torok, T., Kimman, G., Theuns, D., Res, J., Roelandt, J. R., & Jordaens, L. J. (2001). Transseptal left heart catheterisation guided by intracardiac echocardiography. Heart (British Cardiac Society), 86(5), E11.
Szili-Torok T, et al. Transseptal Left Heart Catheterisation Guided By Intracardiac Echocardiography. Heart. 2001;86(5):E11. PubMed PMID: 11602562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transseptal left heart catheterisation guided by intracardiac echocardiography. AU - Szili-Torok,T, AU - Kimman,G, AU - Theuns,D, AU - Res,J, AU - Roelandt,J R, AU - Jordaens,L J, PY - 2001/10/17/pubmed PY - 2002/1/5/medline PY - 2001/10/17/entrez SP - E11 EP - E11 JF - Heart (British Cardiac Society) JO - Heart VL - 86 IS - 5 N2 - OBJECTIVE: To develop a novel approach of transseptal puncture guided by intracardiac echocardiography and to assess its efficacy. METHODS: Transcatheter intracardiac echocardiography with a 9 MHz rotating transducer was performed to guide transseptal puncture in 12 patients (mean age 43.1 years, range 31-68) who underwent radiofrequency catheter ablation of left sided accessory pathways. Initially, the echocardiography and transseptal catheters were placed adjacent to each other in the superior vena cava and were withdrawn to the level of the fossa ovalis. RESULTS: The successful puncture site was associated with visualisation of the fossa ovalis (12 patients, 100%) and the aorta (12 patients, 100%), tenting of the fossa (six patients, 50%), penetration of the needle visualised by the ultrasound catheter (12 patients, 100 %), and echocardiographic contrast material applied in the left atrium (12 patients, 100%). The characteristic jump of the needle onto the fossa ovalis was observed simultaneously with fluoroscopy and intracardiac ultrasound (12 patients, 100%). All procedures were successful. There were no complications associated with the transseptal procedure. CONCLUSIONS: Intracardiac echocardiography is feasible to guide transseptal puncture. The optimal puncture site can be assessed by simultaneous detection of the characteristic downward jump of the transseptal needle onto the fossa ovalis by intracardiac ultrasound and fluoroscopy. SN - 1468-201X UR - https://www.unboundmedicine.com/medline/citation/11602562/Transseptal_left_heart_catheterisation_guided_by_intracardiac_echocardiography_ L2 - http://heart.bmj.com/cgi/pmidlookup?view=long&pmid=11602562 DB - PRIME DP - Unbound Medicine ER -