Transseptal access: A review of contemporary tools

J Cardiovasc Electrophysiol. 2022 Aug;33(8):1927-1931. doi: 10.1111/jce.15428. Epub 2022 Mar 8.

Abstract

Transseptal left atrial catheterization is routinely used for many common catheter-based interventions. Tools for transseptal catheterization have advanced over the recent years. Such tools include imaging advances with intracardiac echocardiology as well as an array of needles, wires, and dilators to achieve transseptal access with greater ease and safety. This study will discuss the contemporary tools for transseptal catheterization and guidance for difficult cases.

Keywords: intracardiac echocardiography; radiofrequency needle; radiofrequency wire; transseptal.

Publication types

  • Review

MeSH terms

  • Atrial Appendage*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / methods
  • Catheter Ablation* / adverse effects
  • Catheter Ablation* / methods
  • Heart Atria
  • Heart Septum / diagnostic imaging
  • Heart Septum / surgery
  • Humans
  • Punctures