Anatomic Approach to Transseptal Puncture for Structural Heart Interventions

Trevor Simard; Abdallah El Sabbagh; Colleen Lane; Ammar M Killu; Mohamad Alkhouli; Peter M Pollak; Jeremy J Thaden; Mackram F Eleid; Paul A Friedman; Charanjit S Rihal

doi:10.1016/j.jcin.2021.04.037

Anatomic Approach to Transseptal Puncture for Structural Heart Interventions

JACC Cardiovasc Interv. 2021 Jul 26;14(14):1509-1522. doi: 10.1016/j.jcin.2021.04.037.

Affiliations

¹ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
² Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA.
³ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: rihal@mayo.edu.

PMID: 34294395
DOI: 10.1016/j.jcin.2021.04.037

Abstract

The use of transseptal puncture continues to rise given the increase in left atrial cardiac interventions. The authors review an anatomic approach to transseptal puncture incorporating multimodality imaging both pre- and intraprocedurally with stepwise escalation algorithms to ensure safe and efficacious large-bore transseptal puncture.

Keywords: anatomic approach; left atrial intervention; structural heart disease; transseptal puncture.

Publication types

Review

MeSH terms

Atrial Fibrillation* / surgery
Cardiac Catheterization / adverse effects
Cardiac Surgical Procedures*
Catheter Ablation*
Heart Atria / diagnostic imaging
Heart Atria / surgery
Humans
Punctures
Treatment Outcome