What question did this study set out to answer?

Assess the procedural success rate and incidence of major complications associated with transseptal left heart catheterization over a 13-year period.

January 1, 1986Clinical Cardiology

Transseptal left heart catheterization: A review of 278 studies

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Why the study?

What are the success and complication rates of transseptal left heart catheterization in adult patients?

Population

278 adult patients undergoing transseptal left heart catheterization over a 13-year period

Design

Case_series

Authors

CBC. B‐LundqvistLinköping University SOShannon B. OlssonNational Centre for Biological Sciences EVE VarnauskasSahlgrenska University Hospital

Discussion

Member takes

Implication

Supports feasibility of transseptal access in experienced centers; leaves open generalizability and need for prospective registries.

Key Points

Assess the procedural success rate and incidence of major complications associated with transseptal left heart catheterization over a 13-year period.
Retrospective review of 278 transseptal left heart catheterizations performed in adult patients over a 13-year period at a single laboratory.
The left atrium was successfully entered in 91.4% of intended procedures, and the left ventricle was entered in 96.1% of 252 attempts.
Major complications included pericardial puncture or suspected tamponade (3.2%), systemic arterial embolism (1.1%), aortic puncture (0.7%), and suspected inferior vena cava perforation (0.4%).
Procedural mortality was 0%, with overall complication rates remaining stable compared to eras when the technique was more frequently utilized.

Structured PICO

What are the success and complication rates of transseptal left heart catheterization in adult patients?

Population

278 adult patients undergoing transseptal left heart catheterization over a 13-year period

Intervention

Transseptal left heart catheterization

Outcome

Procedural success (entering left atrium and left ventricle) and major complicationssafety

Transseptal left heart catheterization is a highly successful procedure with a stable complication rate comparable to historical periods when it was more commonly performed.

Cite This Study

B‐Lundqvist et al. (1986) studied this question.

synapsesocial.com/papers/6a7fcc39e62c735d110fe4a4 https://doi.org/10.1002/clc.4960090105

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Transseptal left heart catheterization: A review of 278 studies

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Transseptal left heart catheterization: A review of 278 studies

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider