title: Targeted Transseptal Access for MitraClip Percutaneous Mitral Valve Repair.
abstract: Targeted transseptal puncture remains the most critical initial part of the overall MitraClip procedure. Care and attention must be implemented for patient safety in choosing the optimal puncture site. A consistent and step-by-step methodical approach is recommended. As experienced operators are targeting more complex and nontraditional pathologic conditions, use of adjunctive tools and maneuvers (outlined in this review) are paramount to achieving successful targeted transseptal access and ultimately procedural success.
authors.affiliation: Division of Cardiovascular Medicine, University of California Davis Medical Center, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA. Electronic address: drsingh@ucdavis.edu.
authors.forename: Gagan D
authors.initials: GD
authors.lastname: Singh
authors.affiliation: Division of Cardiovascular Medicine, University of California Davis Medical Center, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Smith
authors.affiliation: Division of Cardiovascular Medicine, University of California Davis Medical Center, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA.
authors.forename: Jason H
authors.initials: JH
authors.lastname: Rogers
mesh_terms: D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D006801:Humans; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011677:Punctures
keywords: BRK; Baylis; Interatrial septum; MitraClip; Percutaneous mitral valve repair; Transseptal