[The experience of the use of intracardiac echocardiography during puncture of atrial septum].
We analyzed results of 175 intracardiac ultrasound studies (ICUS) in 113 men (mean age 54,6 +/- 11,0 years) and 62 women (mean age 49,7 +/- 8,9 years) with atrial fibrillation (n=146) and WPW syndrome (n=29). ICUS was used for guidance of catheters or electrodes from right to left atrium through atrial septum in 160 procedures of radiofrequency ablations for atrial fibrillation (n=146) or WPW syndrome (n=14). Complications of transseptal puncture developed in 4 patients (2,7%) with atrial fibrillation. There were no procedure related deaths. In all cases ICUS allowed to visualize interatrial septum and its thinnest part. Thus ICUS facilitates transseptal approach to the left atrium, provides lowering of risk of dangerous complications, and allows real time monitoring of possible intraprocedural complications.
Ardashev
A V
AV
Mangutov
D A
DA
Korneev
N V
NV
Zheliakov
E G
EG
Voloshko
S V
SV
Dzhandzhgava
A O
AO
Shavarov
A A
AA
Konev
A V
AV
Davydova
T V
TV
Chernov
M Iu
MIu
Derevianko
O R
OR
D001281:Atrial Fibrillation / Q000000981:diagnostic imaging* / Q000601:surgery; D054087:Atrial Septum / Q000000981:diagnostic imaging / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D004452:Echocardiography / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D011677:Punctures / Q000379:methods*; D015203:Reproducibility of Results; D016896:Treatment Outcome; D014927:Wolff-Parkinson-White Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery