Transseptal puncture: Review of anatomy, techniques, complications and challenges, a critical view.
Int J Cardiol
; 351: 32-38, 2022 Mar 15.
Article
em En
| MEDLINE
| ID: mdl-35007652
ABSTRACT
Transseptal puncture (TSP) was initially described to gain access to the left heart for hemodynamic assessment. Continuous evolution from its origins allows interventionists to perform a myriad of procedures that otherwise would be impossible to accomplish. In the recent years, the number of procedures in cardiology that require TSP has grown exponentially. Namely, transcatheter mitral valve repair and replacement, pulmonary vein isolation and left atrium appendage occlusion. In skilled hands, it is a safe and straightforward procedure; however, a lack of knowledge of the materials, anatomy of the interatrial septum and the technique can be met with life-threatening complications. Therefore, it is imperative that interventional cardiologists master this technique to successfully overcome these obstacles and ensure clinical outcomes in patients requiring TSP. The purpose of the following review is to critically analyze the available evidence regarding TSP, provide a step-by-step approach to the technique, the available materials and tips and tricks to overcome difficulties and manage complications.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veias Pulmonares
/
Ablação por Cateter
/
Septo Interatrial
/
Procedimentos Cirúrgicos Cardíacos
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article