Why the study?
Safe transseptal puncture is key to successful left heart catheterization, prompting a review of intracardiac echocardiography techniques to guide this procedure.
This paper provides a technical guide on using intracardiac echocardiography to safely and effectively guide transseptal puncture in electrophysiology procedures.
ICE may aid transseptal puncture visualization; leaves open comparative trials of catheter types.
The key to a successful catheterization of the left heart chambers is the safe transseptal puncture. Intracardiac echocardiography (ICE) is an attractive tool used in cardiac catheterization and electrophysiology labs to provide detailed images thatcan facilitate transseptal puncture. ICE permits a direct visualization of the endocardium and precisely locates the needle and the sheath against the interatrial septum. Two different ICE catheters are available: a phased array and a mechanical transducer, both being currently used in clinical practice. This paper describes the technique used for guiding transseptal puncture with ICE. Due to its advantages, ICE has currently become an important tool used to maximize the safety of the transseptal puncture and increase efficacy of interventional cardiology procedures.
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Roşu et al. (2019) studied this question.
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