Picking the Locked Door: Experiences and Techniques in Transseptal Puncture Post-Atrial Septal Defect Occlusion

Noel Fitzpatrick; John Keaney; Edward Keelan; Kevin P Walsh; Gábor Széplaki

doi:10.1016/j.jaccas.2023.101827

Picking the Locked Door: Experiences and Techniques in Transseptal Puncture Post-Atrial Septal Defect Occlusion

JACC Case Rep. 2023 Apr 13:14:101827. doi: 10.1016/j.jaccas.2023.101827. eCollection 2023 May 17.

Authors

Noel Fitzpatrick¹, John Keaney^{2

3}, Edward Keelan¹, Kevin P Walsh^{2

3}, Gábor Széplaki^{1

4}

Affiliations

¹ Atrial Fibrillation Institute, Mater Private Hospital, Dublin, Ireland.
² University College Dublin School of Medicine, University College Dublin, Health Sciences Centre, Dublin, Ireland.
³ Mater Misericordiae University Hospital, Dublin, Ireland.
⁴ Royal College of Surgeons in Ireland, Dublin, Ireland.

Abstract

The management of atrial septal defects (ASDs) has been revolutionized by the advent of percutaneous transvenous occlusion devices. This case series describes techniques required to perform a transeptal puncture safely and effectively in patients postimplantation of an atrial septal defect occluder to facilitate catheter ablation of atrial arrhythmias. (Level of Difficulty: Intermediate.).

Keywords: atrial arrhythmia; catheter ablation; heart atria.

Publication types

Case Reports