Key result
Direct transapical LV puncture provides diagnostic data in 95% of patients with few major complications.
Why the study?
Does direct transapical left ventricular puncture provide safe and effective access for left heart catheterization in patients with contraindications to retrograde and transseptal approaches?
Population
112 patients requiring left heart catheterization where retrograde arterial catheterization failed or was…
Design
Case_series
Authors
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May support access when standard routes fail; hypothesis-generating and requires prospective validation before practice change.
Observational (n=112)
Does direct transapical left ventricular puncture provide safe and effective access for left heart catheterization in patients with contraindications to retrograde and transseptal approaches?
Direct transapical left ventricular puncture is a successful and relatively safe alternative for left heart catheterization when retrograde and transseptal approaches are contraindicated.
Morgan et al. (1989) conducted an observational in Indication for left heart catheterization with failed or contraindicated retrograde and transseptal access (n=112). Direct transapical left ventricular puncture was evaluated on Providing required data (procedural success). Direct transapical left ventricular puncture provided required diagnostic data in 95% of patients with a major complication rate of 3%.
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