Key result
Intracardiac echocardiography guidance resulted in repositioning of the transseptal puncture assembly in 7% of cases where fluoroscopy alone indicated ideal positioning, preventing potential complications.
Why the study?
Does intracardiac echocardiography (ICE) improve the safety and accuracy of transseptal puncture compared to fluoroscopy alone?
Observational (n=80)
No
Does intracardiac echocardiography (ICE) improve the safety and accuracy of transseptal puncture compared to fluoroscopy alone?
ICE guidance during transseptal puncture helps correct suboptimal fluoroscopic positioning, potentially preventing severe complications like cardiac tamponade.
ICE may identify fluoroscopy-misguided transseptal sites; hypothesis-generating and should not yet change practice.
Background: This is a single center experience and validation of transseptal punctures (TSP) assisted by fluoroscopy and intracardiac echocardiography (ICE). Methods: 2 operators unexperienced in TSP performed initial 10 TSP each under supervision of experienced operator and with fluoroscopy and ICE guidance. Further 60 TSP were validated in a way that TSP assembly was positioned only under fluoroscopy guidance and after operator felt assembly is at eligible place for performing TSP, the position was checked and corrected if needed according to the ICE image.
No takes yet. Share an insight, caveat, or question.
Anić et al. (2013) conducted an observational in Transseptal puncture for atrial fibrillation ablation (n=80). Intracardiac echocardiography (ICE) guidance vs. Fluoroscopy guidance alone was evaluated on Need for repositioning of transseptal puncture assembly after fluoroscopy-guided positioning. Intracardiac echocardiography guidance resulted in repositioning of the transseptal puncture assembly in 7% of cases where fluoroscopy alone indicated ideal positioning, preventing potential complications.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: