Key result
Real-time fusion of echocardiography and fluoroscopy during transseptal puncture was safe, with zero procedure-related adverse events occurring in both the fusion-guided and standard practice groups.
Why the study?
Does real-time fusion of echocardiography and fluoroscopy improve the safety and efficacy of transseptal puncture in patients undergoing structural heart interventions?
Cohort (n=88)
No
Does real-time fusion of echocardiography and fluoroscopy improve the safety and efficacy of transseptal puncture in patients undergoing structural heart interventions?
Absolute Event Rate: 0% vs 0%
Real-time fusion of echocardiography and fluoroscopy safely reduces the time required for transseptal puncture during structural heart interventions like MitraClip and LAA closure.
No takes yet. Share an insight, caveat, or question.
Feasibility of fused imaging for TSP shown; leaves open whether it improves safety or success versus standard guidance in trials.
Afzal et al. (2016) conducted a cohort in Structural heart disease requiring transseptal puncture (n=88). Real-time fusion of echocardiography and fluoroscopy (EchoNavigator system Release II) vs. Standard fluoroscopy and echocardiography without real-time fusion was evaluated on Occurrence of adverse events due to transseptal puncture (pericardial effusion, stroke, air embolism, arrhythmia, and death). Real-time fusion of echocardiography and fluoroscopy during transseptal puncture was safe, with zero procedure-related adverse events occurring in both the fusion-guided and standard practice groups.
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