Novel trans-septal approach using a Safe Sept J-shaped guidewire in difficult left atrial access during atrial fibrillation ablation.
Nowadays, trans-septal (TS) puncture is a relatively safe and straightforward procedure in experienced hands. However, in the presence of a thick, aneurysmatic or extremely elastic fossa ovalis crossing the septum might be challenging. We here describe the use of a novel guidewire that permits easy and safe 'over the wire' TS access during atrial fibrillation ablation.
Heart Rhythm Management Center, UZ Brussel-VUB, Laarbeeklaan 101, 1090 Brussels, Belgium. carlo.deasmundis@uzbrussel.be
Carlo
C
de Asmundis
Gian Battista
GB
Chierchia
Andrea
A
Sarkozy
Gaetano
G
Paparella
Markus
M
Roos
Lucio
L
Capulzini
Stephan Andreas Muller
SA
Burri
Yoshinao
Y
Yazaki
Pedro
P
Brugada
D001281:Atrial Fibrillation / Q000601:surgery*; D054087:Atrial Septum; D017115:Catheter Ablation / Q000295:instrumentation* / Q000379:methods*; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged