Key result
A retrograde aortic approach using a large-curved catheter facilitates access to all parts of the left atrium during atrial fibrillation ablation in patients with a Gore-Tex patch.
Why the study?
The presence of a Gore-Tex patch can create difficulty in performing transeptal puncture for atrial septal defect patients undergoing atrial fibrillation ablation.
A retrograde aortic approach using a large-curved 3-D mapping catheter is feasible for AF ablation in patients with a Gore-Tex patch preventing transeptal puncture.
May facilitate LA access in patch patients; hypothesis-generating case report requiring prospective validation before practice change.
The presence of a Gore-Tex patch can create difficulty in performing transeptal puncture for atrial septal defect patients underwent atrial fibrillation ablation. The maneuverability and stability of using manually operated catheters via retrograde aortic approach could be overcome by a large-curved catheter to form a loop facilitating approachability to all parts of left atrium.
No takes yet. Share an insight, caveat, or question.
Comandante et al. (2019) studied this question. A retrograde aortic approach using a large-curved catheter facilitates access to all parts of the left atrium during atrial fibrillation ablation in patients with a Gore-Tex patch.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: