Fossa ovalis radiofrequency perforation in a difficult case of conventional transseptal puncture for atrial fibrillation ablation

Michela Casella; Antonio Dello Russo; Gemma Pelargonio; Annamaria Martino; Stefano De Paulis; Paolo Zecchi; Fulvio Bellocci; Claudio Tondo

doi:10.1007/s10840-007-9194-x

Fossa ovalis radiofrequency perforation in a difficult case of conventional transseptal puncture for atrial fibrillation ablation

Michela Casella, Antonio Dello Russo, Gemma Pelargonio, Annamaria Martino, Stefano De Paulis, Paolo Zecchi, Fulvio Bellocci, Claudio Tondo

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

Abstract

A 65-year-old man was referred for atrial fibrillation ablation to our center. Routine pre-procedure transthoracic and transoesophageal echocardiography and cardiac computed tomography examinations showed a normal interatrial septum and fossa ovalis anatomy. Access to left atrium was initially planned using a conventional transseptal needle puncture. During the procedure, several consecutive attempts in conjunction with intracardiac echocardiography support, failed to cross the septum. The procedure was then successfully carried out using a specifically designed radiofrequency transseptal catheter.

Original language	English
Pages (from-to)	249-253
Number of pages	5
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	21
Issue number	3
DOIs	https://doi.org/10.1007/s10840-007-9194-x
Publication status	Published - Apr 2008

Keywords

Atrial fibrillation ablation
Radiofrequency puncture
Transseptal puncture

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s10840-007-9194-x

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Fossa ovalis radiofrequency perforation in a difficult case of conventional transseptal puncture for atrial fibrillation ablation. / Casella, Michela ; Dello Russo, Antonio; Pelargonio, Gemma; Martino, Annamaria; De Paulis, Stefano; Zecchi, Paolo; Bellocci, Fulvio; Tondo, Claudio.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 21, No. 3, 04.2008, p. 249-253.

Research output: Contribution to journal › Article › peer-review

Casella, Michela ; Dello Russo, Antonio ; Pelargonio, Gemma ; Martino, Annamaria ; De Paulis, Stefano ; Zecchi, Paolo ; Bellocci, Fulvio ; Tondo, Claudio. / Fossa ovalis radiofrequency perforation in a difficult case of conventional transseptal puncture for atrial fibrillation ablation. In: Journal of Interventional Cardiac Electrophysiology. 2008 ; Vol. 21, No. 3. pp. 249-253.

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AU - De Paulis, Stefano

AU - Zecchi, Paolo

AU - Bellocci, Fulvio

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KW - Radiofrequency puncture

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