ArticleEuropean journal of arrhythmia & electrophysiology2016
Fluoroscopy-free Atrial Transseptal Puncture.
Article in European journal of arrhythmia & electrophysiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Modified intracardiac echocardiography (ICE)-guided transseptal puncture under ablation catheter guidance.BMC cardiovascular disorders · 2025Article
- Intracardiac echocardiography techniques to identify ventricular arrhythmia substrate.Heart rhythm O2 · 2022Review
- Fluoroless left atrial access for radiofrequency and cryoballoon ablations using a novel radiofrequency transseptal wire.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022Article
- Implementation of a zero fluoroscopic workflow using a simplified intracardiac echocardiography guided method for catheter ablation of atrial fibrillation, including repeat procedures.BMC cardiovascular disorders · 2021Observational
- Safety and Effectiveness of a Novel Fluoroless Transseptal Puncture Technique for Lead-free Catheter Ablation: A Case Series.The Journal of innovations in cardiac rhythm management · 2020Article
- Transseptal Puncture for Catheter Ablation in Children.Pediatric cardiology · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionFluoroscopy is traditionally used in atrial transseptal puncture (TSP); however fluoroscopy exposes patient and physician to excess radiation. Here, we describe a feasibility study of a zero-fluoroscopy transseptal puncture (ZFTSP) technique utilising electroanatomical mapping (EAM) and intracardiac echo (ICE) in a small case series of patients undergoing ablation for atrial fibrillation (AF). We then compare this technique to other established ZFTSP techniques for paroxysmal AF ablation.
methodsSeven patients received ZFTSP. An Acunav™ ICE catheter (Biosense Webster Inc., California, US) was placed in the right atrium, then an Agilis™ sheath (St. Jude Medical, Saint Paul, Minnesota, US) was established into the inferior vena cava. A ThermoCool
resultsThere were no significant differences in age, body mass index (BMI) or AF duration between the two groups and no immediate complications. ZFTSP procedure time was 183.9±33.7 minutes versus 293.13±129.9 minutes for TSP-only controls (p=0.05). Fluoroscopy time was 17.5±14.1 minutes in ZFTSP patients versus 73.4±50.3 minutes in controls (p=0.01). AF recurrence in ZFTSP patients was 14% versus 25% in controls.
conclusionZFTSP utilising ICE and EAM is safe, effective, and time-efficient. There is a small but significant reduction in radiation exposure to patient and physician by the use of this technique.
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Registered trials
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