Key result
Accusafe guidewire under ICE and fluoroscopy achieves safe first-pass septal puncture in complex LAA closure.
Case Report (n=1)
No
The Accusafe guidewire, used under dual ICE and fluoroscopy guidance, facilitated safe and precise first-pass atrial septal puncture for LAA closure in a patient with complex anatomy.
A 74-year-old female with nonvalvular atrial fibrillation and heart failure, on rivaroxaban 20 mg/day, presented for left atrial appendage (LAA) closure due to recurrent hematomas despite anticoagulation therapy. This case report describes an innovative atrial septal puncture (ASP) technique utilizing the Accusafe guidewire (Synaptic Medical, Beijing, China) under combined fluoroscopic and intracardiac echocardiography (ICE) guidance. The procedure was successful, demonstrating that this method may enhance procedural safety and precision, particularly in complex cases such as LAA closure, atrial fibrillation ablation, and MitraClip procedures.
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Nie et al. (2026) conducted a case report in Nonvalvular atrial fibrillation (n=1). Accusafe guidewire with dual ICE and fluoroscopy guidance was evaluated on Procedural success and safety. The Accusafe guidewire under dual ICE and fluoroscopy guidance successfully achieved first-pass atrial septal puncture and left atrial appendage closure without complications in a complex case.
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