Electrosurgical Energy in Combination With a Transseptal Needle: A Novel Method for the Creation of an Atrial Communication in Hypoplastic Left Heart Syndrome With Intact Atrial Septum

被引：10

作者：

Gordon, Brent M. ^{[1
]}

Levi, Daniel S. ^{[1
]}

Shannon, Kevin M. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Div Pediat Cardiol, Los Angeles, CA 90095 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2009年 / 73卷 / 01期

关键词：

radio-frequency energy; HLHS; ASD; stenting; transseptal; DEFECT;

D O I：

10.1002/ccd.21754

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Neonates with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) usually present with severe acidosis and hypoxemia that necessitate immediate intervention to create an atrial septal defect (ASD). Transcatheter creation of an ASD in these patients requires transseptal puncture of a thickened atrial septum in the setting of a very small left atrium. We report on a novel method of perforating the atrial septum using radio-frequency energy in combination with a transseptal needle to facilitate transseptal puncture and subsequent stent placement in a very thick atrial septum of a newborn with HLHS/IAS and a small left atrium. (C) 2008 Wiley-Liss, Inc.

引用

页码：113 / 116

页数：4

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