NRGTM RF powered transseptal needle: a useful technique for transcatheter atrial septostomy and Fontan fenestration: report of three cases

Tevfik Karagöz; Alper Akın; Hayrettin Hakan Aykan

doi:10.17305/bjbms.2014.4.60

Authors

Tevfik Karagöz
Alper Akın Hacettepe University
Hayrettin Hakan Aykan

DOI:

https://doi.org/10.17305/bjbms.2014.4.60

Keywords:

transseptal puncture, transseptal needle, pulmonary hypertension

Abstract

Transseptal puncture (TSP) is a frequently performed procedure for gaining access to the left atrium for catheter ablation, hemodynamic assessment of the left heart, left ventricular assist device implantation, percutaneous left atrial appendage closure or mitral valvuloplasty during childhood and adulthood. The standard technique for transseptal puncture applies mechanical pressure on the fossa ovalis with a Brockenbrough needle. However, this method is not feasible when the fossa ovalis is thick and aneurysmatic. In such patients, the radiofrequency ablation energy systems can be offered as a better alternative for TSP. Here, we aimed to demonstrate the outcome of transseptal puncture performed with an NRG^TM RF powered transseptal needle in three patients.

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Author Biography

Alper Akın, Hacettepe University

Pediatric cardiology

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