Fossa ovalis radiofrequency perforation in a difficult case of conventional transseptal puncture for atrial fibrillation ablation

被引:11
作者
Casella, Michela [1 ]
Dello Russo, Antonio [1 ]
Pelargonio, Gemma [1 ]
Martino, Annamaria [1 ]
De Paulis, Stefano [2 ]
Zecchi, Paolo [1 ]
Bellocci, Fulvio [1 ]
Tondo, Claudio [3 ]
机构
[1] Univ Cattolica Sacro Cuore, Inst Cardiol, Dept Cardiovasc Med, I-00168 Rome, Italy
[2] Univ Cattolica Sacro Cuore, Dept Cardiovasc Med, Inst Anesthesiol & Intensive Care, I-00168 Rome, Italy
[3] San Camillo Forlanini Hosp, Cardiac Arrhythmia Ctr & Heart Failure Unit, Div Cardiol, Rome, Italy
关键词
transseptal puncture; radiofrequency puncture; atrial fibrillation ablation;
D O I
10.1007/s10840-007-9194-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 65-year-old man was referred for atrial fibrillation ablation to our center. Routine pre-procedure transthoracic and transoesophageal echocardiography and cardiac computed tomography examinations showed a normal interatrial septum and fossa ovalis anatomy. Access to left atrium was initially planned using a conventional transseptal needle puncture. During the procedure, several consecutive attempts in conjunction with intracardiac echocardiography support, failed to cross the septum. The procedure was then successfully carried out using a specifically designed radiofrequency transseptal catheter.
引用
收藏
页码:249 / 253
页数:5
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