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- Title
A Simplified Trans-Septal Puncture Technique using a Needle Free Approach for Cryoablation of Atrial Fibrillation.
- Authors
Honarbakhsh, Shohreh; O'Brien, Ben; Schilling, Richard J.
- Abstract
Background: Trans-septal puncture (TSP) is routinely performed during treatment of atrial fibrillation (AF) and other electrophysiology procedures. The purpose of this retrospective observational study was the analysis of a novel needle free technique employed to gain access to the left atrium (LA). Methods: The SafeSept Needle Free guidewire was delivered, using no needle, to the interatrial septum via a standard cryoablation sheath and dilator under transoesophageal guidance. The wire was then advanced into the LA with position confirmed by fluoroscopy. All cases were performed under general anaeasthetic (GA). Results: The novel procedure was performed in 43 patients (38 paroxysmal AF (88.4%) and 5 persistent AF (11.4%)) with 100% success rate in accessing the LA. The procedure times (51.70 ±18.18) and fluoroscopy times (2.75 ± 3.35) were recorded. There were no complications seen in the cohort. Conclusions: Using SafeSept Needle Free wire for TSP had a high success rate and resulted in no complications, with the potential to reduce procedure and fluoroscopy times.
- Subjects
CRYOSURGERY; ATRIAL fibrillation; ELECTROPHYSIOLOGY
- Publication
JAFIB: Journal of Atrial Fibrillation, 2017, Vol 10, Issue 2, p6
- ISSN
1941-6911
- Publication type
Article
- DOI
10.4022/jafib.1628