Key result
Transseptal access for pulmonary vein isolation through an atrial septal defect closure device resulted in mapping catheter entrapment requiring conversion to open heart surgery.
Transseptal access through an ASD closure device during pulmonary vein isolation carries a risk of catheter entrapment that may require emergency open heart surgery.
Answers are grounded in this paper and cite their sources.
Alerts to entrapment risk during transseptal access via ASD closure devices in PVI; leaves open optimal strategies for these patients.
A pulmonary vein isolation procedure in a patient with an atrial septal defect (ASD) closure device was complicated by entrapment of a mapping catheter in the device. The procedure was converted to open heart surgery, the device with the trapped catheter was explanted, the ASD was covered with a bovine patch, and a cryomaze procedure was performed. (Level of Difficulty: Intermediate.)
No takes yet. Share an insight, caveat, or question.
Saluveer et al. (2022) studied this question. Transseptal access for pulmonary vein isolation through an atrial septal defect closure device resulted in mapping catheter entrapment requiring conversion to open heart surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: