Chapter 63
Transseptal Puncture
Nagendra Boopathy Senguttuvan,
Gilbert H.L. Tang,
Annapoorna Kini,
Nagendra Boopathy Senguttuvan
Search for more papers by this authorGilbert H.L. Tang
Search for more papers by this authorAnnapoorna Kini
Search for more papers by this authorNagendra Boopathy Senguttuvan,
Gilbert H.L. Tang,
Annapoorna Kini,
Nagendra Boopathy Senguttuvan
Search for more papers by this authorGilbert H.L. Tang
Search for more papers by this authorAnnapoorna Kini
Search for more papers by this authorBook Editor(s):George D. Dangas MD, MACC, MSCAI, FAHA, FESC,
Carlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC,
Holger Thiele MD,
Peter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP,
Tayo Addo MD, Bimmer Claessen MD, Christian Hengstenberg MD, Nicholas Kipshidze MD,
George D. Dangas MD, MACC, MSCAI, FAHA, FESC
Professor of Medicine (Cardiology) & Surgery (Vascular) Professor of Cardiology Adjunct Professor of Internal Medicine
Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA
National Kapodistrian University of Athens, Greece
Medical University of Vienna, Austria
Search for more papers by this authorCarlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC
Professor of Cardiology Director of the Structural Interventional Cardiology Division Honorary Consultant
University of Florence
University Hospital Careggi, Florence, Italy
Cardiologist Royal Brompton Hospital, London, UK
Search for more papers by this authorHolger Thiele MD
Professor of Cardiology at University of Leipzig
Heart Center Leipzig at University of Leipzig, Leipzig, Germany
Search for more papers by this authorPeter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP
Professor of Cardiology Interventional Cardiologist
University of Melbourne, Melbourne, Victoria, Australia
St Vincent's & Northern Hospitals Victoria, Australia
Search for more papers by this authorFirst published: 06 May 2022
Summary
Transseptal catheterization (TS) is an essential procedural skill required in the current era. The role of TS is increasingly gaining importance in the field of structural heart disease interventions. Isolated fluoroscopy-guided technique was initially used. In the current era, most of the centers have changed to utilization of transthoracic echocardiogram/intra-cardiac echocardiogram along with fluoroscopy to improve the safety of the procedure. Newer radio-frequency based puncture system has been shown to improve safety. Ideal puncture sites differ among different procedures involving left heart chambers. In this chapter, we discussed the embryology of interatrial septum, ideal puncture sites for different procedures, different types of equipment used to TS puncture including TS puncture needles, wires, bail-outs in case of resistant septum, complications of TS procedure and their management.
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