Evidence map›Paper›PMID 41256190›Full record

ArticleEuropean heart journal. Case reports2025

Successful transseptal puncture through tortuous inferior vena cava with a novel transseptal guidewire: a case report.

Tongshuai Chen, Yuhang Yang, Bing Rong, Kai Zhang, Jingquan Zhong

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Evolution of Radiofrequency Transseptal Puncture Devices.Medical devices (Auckland, N.Z.) · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tongshuai ChenState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, 107 Wenhua Xilu, Jinan, Shandong 250012, China.ORCID https://orcid.org/0000-0002-6713-0796
Yuhang YangState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, 107 Wenhua Xilu, Jinan, Shandong 250012, China.ORCID https://orcid.org/0009-0000-4487-3688
Bing RongState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, 107 Wenhua Xilu, Jinan, Shandong 250012, China.ORCID https://orcid.org/0009-0007-0815-7570
Kai ZhangState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, 107 Wenhua Xilu, Jinan, Shandong 250012, China.ORCID https://orcid.org/0000-0001-9294-2668
Jingquan ZhongState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, 107 Wenhua Xilu, Jinan, Shandong 250012, China.ORCID https://orcid.org/0000-0001-9547-4070

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial transseptal puncture is a fundamental manoeuvre in transseptal transcatheter interventions, and inferior vena cava tortuosity could cause failure of conventional transseptal puncture method with Brockenbrough needle. Case summary: We report a rare case of inferior vena cava tortuosity in a patient with atrial fibrillation in which the conventional transseptal puncture method failed due to marked needle deformation and was completed by a novel transseptal wire (AccuSafe™, Synaptic Medical) in combination with a steerable sheath. Discussion: Inferior vena cava tortuosity is one of the major causes of unsuccessful atrial transseptal puncture, even under the guidance of intracardiac echocardiography. The new transseptal wire should be the initial selection rather than a conventional transseptal needle when encountering severe inferior vena cava tortuosity.

Indexed as

Atrial fibrillationCase reportInferior vena cava tortuosityTransseptal puncture

Identifiers

PMID41256190
PMCPMC12620641

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.