Kueffer, Thomas; Madaffari, Antonio; Thalmann, Gregor; Mühl, Aline; Galuszka, Oskar; Baldinger, Samuel; Seiler, Jens; Tanner, Hildegard; Kobza, Richard; Roten, Laurent; Berte, Benjamin; Reichlin, Tobias (2023). Eliminating transseptal sheath exchange for pulsed field ablation procedures using a direct over-the-needle transseptal access with the Faradrive sheath. Europace, 25(4), pp. 1500-1502. Oxford University Press 10.1093/europace/euad060
|
Text
euad060.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (782kB) | Preview |
AIMS
Pulsed field ablation (PFA) for pulmonary vein isolation (PVI) combines the benefits of high procedural efficacy and safety. Transseptal puncture (TSP) to obtain left atrial (LA) access during PVI remains an important source of complications during LA procedures. For PFA procedures, TSP is generally performed using a standard transseptal sheath that is then exchanged over the wire for a dedicated PFA sheath, which might be a potential source for air embolism. We aimed to prospectively evaluate the feasibility and safety of a simplified workflow using the PFA sheath (Faradrive, Boston Scientific) directly for TSP.
METHODS AND RESULTS
We prospectively enrolled 100 patients undergoing PVI using PFA at two centres. TSP was performed using the PFA sheath and a standard 98 cm transseptal needle under fluoroscopic guidance. TSP via the PFA sheath was successfully performed in all patients and no complications occurred. The median time from the first groin puncture to the completed LA access was 12 min (IQR 8-16 min).
CONCLUSION
An over-the-needle TSP directly with the PFA sheath proved feasible and safe in our study. This simplified workflow has the potential to reduce the risk of air embolism, to shorten procedure time, and to reduce cost.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology |
UniBE Contributor: |
Kueffer, Thomas, Madaffari, Antonio, Thalmann, Gregor, Mühl, Aline, Galuszka, Oskar Marian, Baldinger, Samuel Hannes, Seiler, Jens, Tanner, Hildegard, Roten, Laurent, Reichlin, Tobias Roman |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1532-2092 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
10 Mar 2023 08:30 |
Last Modified: |
17 Apr 2023 00:15 |
Publisher DOI: |
10.1093/europace/euad060 |
PubMed ID: |
36892147 |
Uncontrolled Keywords: |
Air embolism Pulsed field ablation Transseptal puncture |
BORIS DOI: |
10.48350/179842 |
URI: |
https://boris.unibe.ch/id/eprint/179842 |
Actions (login required)
 |
Edit item |