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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Pages (from-to)249-253
Number of pages5
JournalJournal of Interventional Cardiac Electrophysiology
Volume21
Issue number3
DOIs
Publication statusPublished - Apr 2008

Keywords

  • Atrial fibrillation ablation
  • Radiofrequency puncture
  • Transseptal puncture

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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