Transseptal puncture - Review of anatomy, techniques, complications and challenges.

@article{OBrien2017TransseptalP,
  title={Transseptal puncture - Review of anatomy, techniques, complications and challenges.},
  author={Barry J. O'Brien and Haroon Zafar and Simon De Freitas and Faisal Sharif},
  journal={International journal of cardiology},
  year={2017},
  volume={233},
  pages={12-22}
}
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. Even for skilled operators, the procedure is technically demanding and requires sound understanding of atrial anatomy. Intracardiac echocardiography is useful in cases of previous septal repair, poorly defined fossa ovalis anatomy or when… CONTINUE READING