A Novel Deep Inspiration Maneuver for Difficult Transseptal Puncture

Aksu T., Guler T. E., YALIN K., Golcuk S. E., Ozcan K. S., Guler N.

AMERICAN JOURNAL OF CARDIOLOGY, cilt.119, sa.3, ss.428-433, 2017 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 119 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1016/j.amjcard.2016.10.023
  • Dergi Adı: AMERICAN JOURNAL OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.428-433
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır

Özet

Transseptal puncture (TSP) may not be possible in cases of an elastic, aneurysmal, or thickened interatrial septum (IAS). During deep inspiration (DI), the chest wall expands and the diaphragm descends. This makes intrapleural pressure to become more negative, which leads to movement of the IAS to the right side. The aim of this study was to verify prospectively the feasibility, safety, and outcome of DI associated with conventional TSP technique in patients with challenging IAS anatomy. From September 2012 to May 2016, 224 patients underwent TSP due to different indications. Patients were divided into 2 groups: 213 patients in whom the left atrium was successfully accessed in 3 attempts were grouped as conventional TSP group and 11 patients in whom left atrium access was failed after 3 conventional attempts were grouped as DI-TSP group.