Evidence map›Paper›PMID 42909720›Full record

ArticleThe international journal of cardiovascular imaging2026

Sequential multimodality imaging-guided transseptal strategy for cryoballoon ablation in cor triatriatum sinister.

Giuseppe Romano, Vito Bonomo, Francesco Sabatino, Michele Giusti, Vincenzo Polizzi

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Article in The international journal of cardiovascular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Giuseppe RomanoAzienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, U.O.C. Cardiologia, Presidio Cervello, Palermo, Italy. g.romano@villasofia.it.
Vito BonomoAzienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, U.O.C. Cardiologia, Presidio Cervello, Palermo, Italy.
Francesco SabatinoAzienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, U.O.C. Cardiologia, Presidio Cervello, Palermo, Italy.
Michele GiustiAzienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, U.O.C. Cardiologia, Presidio Cervello, Palermo, Italy.
Vincenzo PolizziAzienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, U.O.C. Cardiologia, Presidio Cervello, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To describe a sequential multimodality imaging strategy for transseptal access during cryoballoon ablation in a patient with cor triatriatum sinister (CTS).

methodsA 55-year-old man with paroxysmal atrial fibrillation and CTS underwent preprocedural cardiac computed tomography (CCT), followed by real-time transesophageal echocardiography (TEE), contrast confirmation, and fluoroscopic guidance during the procedure.

resultsCCT demonstrated pulmonary vein drainage into a Proximal Chamber (Posterior-Superior), separated from the Distal Chamber (Anterior-Inferior) by a membrane. Real-time TEE identified and confirmed an anterosuperior transseptal site, with septal tenting before needle passage. After a single BRK needle puncture, contrast confirmed access to the pulmonary-vein-containing chamber, allowing advancement of the FlexCath Advance catheter (Medtronic) and cryoballoon isolation of all 4 pulmonary veins without procedural complications.

conclusionIn CTS, transseptal access should be tailored to the individual atrial anatomy. Sequential use of CCT, real-time TEE, contrast, and fluoroscopy can provide complementary information at the successive stages of the procedure.

Indexed as

Atrial fibrillationCor triatriatum sinisterCryoballoon ablationMultimodality imagingTransesophageal echocardiographyTransseptal puncture

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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.