Skip Navigation

European Heart Journal 1998 19(6):943-950; doi:10.1053/euhj.1998.0979
Copyright © 1998 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (23)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by De Ponti, R.
Right arrow Articles by Salerno-Uriarte, J.A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by De Ponti, R.
Right arrow Articles by Salerno-Uriarte, J.A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Trans-septal catheterization for radiofrequency catheter ablation of cardiac arrhythmias. Results and safety of a simplified method

R. De Pontiaf1, M. Zardinia, C. Stortib, M. Longobardib and J.A. Salerno-Uriartea

a Università degli Studi di Pavia, Facoltà di Medicina e Chirurgia di Varese, Varese, Divisione di Cardiologia—C.C. ‘Mater Domini’ Castellanza, VA, Italy
b Divisione di Cardiologia, Istituto ‘Città di Pavia’ Pavia, Italy

accepted December 20, 1997

Aim

This study reports on the results and safety of a simplified method of trans-septal catheterization for radio-frequency catheter ablation of cardiac arrhythmias.

Method and Results

Over 5 years, 411 patients underwent trans-septal catheterization for radiofrequency catheter ablation: 388 patients had a left-sided accessory pathway, 19 a left-sided focal atrial tachycardia, two atrial fibrillation and two post-infarction ventricular tachycardia. All but one patient with ventricular tachycardia underwent elective trans-septal catheterization. In the absence of a patent foramen ovale, puncture of the atrial septum was performed by using an 8F Mullins sheath and a Brockenbrough needle, according to the simplified method described in this paper. Trans-septal catheterization was accomplished in 383/388 patients (98·7%); in 41 patients a second trans-septal catheterization and radiofrequency catheter ablation was performed for initial failure or recurrence. Radiofrequency catheter ablation was successful in 96% of accessory pathway patients, 90% of atrial tachycardia patients, in both patients with atrial fibrillation and in both patients with ventricular tachycardia. No complication related to trans-septal catheterization was observed.

Conclusion

In experienced hands and according to the method described in this paper, the elective use of trans-septal catheterization for radiofrequency catheter ablation in a large cohort of patients with cardiac arrhythmias is feasible, safe and allows successful ablation in the vast majority of the patients.

Key Words: trans-septal left heart catherization • radio frequency catheter ablation • non-pharmacological treatment of cardiac arrhythmias

f1 Correspondence: Roberto De Ponti, Divisione di Cardiologia—C.C. ‘Mater Domini’, Università degli Studi di Pavia—Facoltà di Medicina e Chirurgia di Varese,Via Gerenzano, 2. I-21053 Castellanza (VA), Italy


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 EuropaceHome page
G. B. Chierchia, L. Capulzini, C. de Asmundis, A. Sarkozy, M. Roos, G. Paparella, T. Boussy, G. Van Camp, D. Kerkhove, and P. Brugada
First experience with real-time three-dimensional transoesophageal echocardiography-guided transseptal in patients undergoing atrial fibrillation ablation
Europace, October 3, 2008; (2008) eun275v1.
[Abstract] [Full Text] [PDF]

Home page
 Circ Arrhythmia ElectrophysiolHome page
S. Knecht, P. Jais, I. Nault, M. Wright, S. Matsuo, A. Madaffari, N. Lellouche, M. D. O'Neill, N. Derval, A. Deplagne, et al.
Radiofrequency Puncture of the Fossa Ovalis for Resistant Transseptal Access
Circ Arrhythmia Electrophysiol, August 1, 2008; 1(3): 169 - 174.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
A. S. Thornton, M. Rivero-Ayerza, and L. J. Jordaens
Ablation of a focal left atrial tachycardia via a retrograde approach using remote magnetic navigation
Europace, June 1, 2008; 10(6): 687 - 689.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. De Ponti, R. Cappato, A. Curnis, P. Della Bella, L. Padeletti, A. Raviele, M. Santini, and J. A. Salerno-Uriarte
Trans-Septal Catheterization in the Electrophysiology Laboratory: Data From a Multicenter Survey Spanning 12 Years
J. Am. Coll. Cardiol., March 7, 2006; 47(5): 1037 - 1042.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
J.E.P Waktare, K Hnatkova, S.M Sopher, F.D Murgatroyd, X Guo, A.J Camm, and M Malik
The role of atrial ectopics in initiating paroxysmal atrial fibrillation
Eur. Heart J., February 2, 2001; 22(4): 333 - 339.
[Abstract] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.