Why the study?
In the era of fluoroless catheter ablation, achieving a successful transseptal puncture presents a significant challenge.
Does a needle-free transseptal puncture using a GMS-1 guidewire with electrocautery allow safe and effective left atrial access in patients undergoing atrial fibrillation ablation?
Does a needle-free transseptal puncture using a GMS-1 guidewire with electrocautery allow safe and effective left atrial access in patients undergoing atrial fibrillation ablation?
A novel needle-free transseptal puncture technique using a 0.025 inch GMS-1 guidewire with electrocautery is feasible, safe, and cost-effective for left atrial access.
Needle-free transseptal access appears feasible in limited cases; leaves open whether it improves safety or efficiency versus standard methods.
Background: In the era of fluoroless catheter ablation (CA), achieving a successful transseptal puncture (TSP) presents a significant challenge. We introduce a novel technique for zero-fluoroscopy and cost-effective needle-free TSP. Case summary: We describe two cases where a GMS-1 guidewire (0.025 inch, pigtail configuration; Toray Medical Co., Ltd., Japan) was utilized for TSP. This technique was performed using either fluoroscopy or intracardiac echocardiography (ICE). The procedure was completed successfully in both cases, with no complications reported. Conclusion: The use of a 0.025 inch GMS-1 guidewire with an electrocautery technique enables effective transseptal puncture without the need for a needle or fluoroscopy. This novel approach offers a safe, efficient, and zero-fluoroscopic alternative for TSP.
No takes yet. Share an insight, caveat, or question.
Lee et al. (2024) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: