Transatrial management of inadvertent puncture of the posterior wall during transseptal access for atrial fibrillation ablation: technical report.

Autor: Chokr MO; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil., Sousa IBDS; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil., El Andere T; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil. tamer_el_andere@hotmail.com., Brígido ARD; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil., de Gouvêa Filho LFF; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil., Scanavacca MI; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil.
Jazyk: angličtina
Zdroj: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2022 Jun; Vol. 64 (1), pp. 35-37. Date of Electronic Publication: 2021 Jul 02.
DOI: 10.1007/s10840-021-01025-8
Abstrakt: Transseptal puncture for atrial fibrillation ablation is a safe and common procedure. However, complications, such as cardiac tamponade, may be fatal if not recognized and treated. Our goal is to report a bailout strategy, by which management of an inadvertent puncture of the posterior wall of the left atrium was possible. It was followed by successful pulmonary vein isolation, without the need for subsequent subxiphoid puncture.
(© 2021. Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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