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

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10.1007/s10840-007-9194-x

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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.",

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AU - Casella, Michela

AU - Dello Russo, Antonio

AU - Pelargonio, Gemma

AU - Martino, Annamaria

AU - De Paulis, Stefano

AU - Zecchi, Paolo

AU - Bellocci, Fulvio

AU - Tondo, Claudio

PY - 2008/4

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N2 - 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.

AB - 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.

KW - Atrial fibrillation ablation

KW - Radiofrequency puncture

KW - Transseptal puncture

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

Abstract

Keywords

ASJC Scopus subject areas

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