What is a transseptal puncture?

What is a transseptal puncture?

The transseptal puncture is a routine procedure for cardiac electrophysiologists to access the left atrium, predominantly for ablation of atrial fibrillation. An intracardiac catheter should be used as an anatomical marker to avoid puncturing the aortic root.

Do they shock your heart during ablation?

Electrical cardioversion: An electrical shock is delivered to your heart through patches placed on your chest, under sedation. The shock stops your heart’s electrical activity momentarily; then in most cases, the heart beat resumes at its normal rhythm.

What is a transseptal technique?

Transseptal puncture is the technique of creating a small surgical passage through the atrial septum (wall between the right and left atrium) through which a catheter can be directly fed. The puncture hole generally heals on its own following the procedure.

Why am I so tired after my cardiac ablation?

Also, your heart rhythm may feel faster than usual for a period of time and you may feel tired as your heart and body need time to adjust. These symptoms will improve on their own over time. It is likely during this period that your doctor will recommend that you continue to take your arrhythmia medication.

What is a pulmonary vein isolation ablation?

Pulmonary vein isolation is a procedure to treat an irregular heart rhythm called atrial fibrillation. Pulmonary vein isolation is a type of cardiac ablation. Cardiac ablation uses heat or cold energy to create tiny scars in the heart to block irregular electrical signals and restore a regular heartbeat.

What is the transseptal puncture approach?

In recent years, the transseptal puncture approach has enabled passage of increasingly large and complex devices into the left atrium. Traditional tools remain effective in creating and dilating the initial puncture, with an acceptable safety profile.

What is the transseptal technique for cardiac ablation?

Transseptal technique. After successful ablation, transseptal sheaths were withdrawn across the interatrial septum with the ablation catheter tip protruding slightly. This technique was employed to avoid inadvertent displacement of adherent coagulum from the catheter at the sheath tip.

What is transseptal puncture for cryoablation?

A simplified trans-septal puncture technique using a needle free approach for cryoablation of atrial fibrillation. J Atr Fibrillation. 2017;10:1628. 11. Faletra FF, Biasco L, Pedrazzini G, et al. Echocardiographic-fluoroscopic fusion imaging in transseptal puncture: a new technology for an old procedure.

How are transseptal sheaths withdrawn from the interatrial septum after cardiac ablation?

After successful ablation, transseptal sheaths were withdrawn across the interatrial septum with the ablation catheter tip protruding slightly. This technique was employed to avoid inadvertent displacement of adherent coagulum from the catheter at the sheath tip.

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