Use of the Baylis radiofrequency trans-septal needle to create an atrial communication in hypoplastic left heart syndrome
Hypoplastic left heart syndrome with intact/highly restrictive atrial septum often requires emergent creation of an atrial communication to decompress the left atrium. Transcatheter trans-septal puncture in the setting of a thickened septum and a small left atrium can be a difficult and dangerous in...
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| Veröffentlicht in: | Interventional cardiology 2015-04, Vol.7 (2), p.131-136 |
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| creator | Torres, Alejandro J Sommer, Robert J Crystal, Matthew A Vincent, Julie A Bacha, Emile Turner, Mariel E |
| description | Hypoplastic left heart syndrome with intact/highly restrictive atrial septum often requires emergent creation of an atrial communication to decompress the left atrium. Transcatheter trans-septal puncture in the setting of a thickened septum and a small left atrium can be a difficult and dangerous intervention. Trans-septal puncture using the Nykanen radiofrequency (RF) perforation wire in conjunction with a coaxial catheter and the Baylis RF generator has become the standard method in most centers. This approach can be challenging due to technical difficulties related to the RF wire and the flimsy coaxial catheter. We report two patients in whom we used a novel method of perforating the atrial septum using the RF Baylis trans-septal needle. The advantages of this technique are discussed. |
| doi_str_mv | 10.2217/ica.15.1 |
| format | Article |
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Transcatheter trans-septal puncture in the setting of a thickened septum and a small left atrium can be a difficult and dangerous intervention. Trans-septal puncture using the Nykanen radiofrequency (RF) perforation wire in conjunction with a coaxial catheter and the Baylis RF generator has become the standard method in most centers. This approach can be challenging due to technical difficulties related to the RF wire and the flimsy coaxial catheter. We report two patients in whom we used a novel method of perforating the atrial septum using the RF Baylis trans-septal needle. 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The advantages of this technique are discussed.</description><subject>atrial septostomy</subject><subject>Care and treatment</subject><subject>congenital heart disease</subject><subject>Health aspects</subject><subject>Hypoplastic left heart syndrome</subject><subject>Radiofrequency ablation</subject><subject>radiofrequency perforation</subject><subject>trans-septal puncture</subject><subject>transcatheter therapy</subject><issn>1755-5302</issn><issn>1755-5310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkU1v3CAQhq2okRKlkfITkHLpxRvAsNjHbdSPSCv10pzRLAxZVjY4gA_-9yXaqFXVwoEBnnd4Z2iaO0Y3nDP14A1smNywi-aaKSlb2TH64XdM-VVzm_OJ1tHxgVJ23azPGUl0pByRfIZ19JkksD66hK8LBrOSkiDkNuNcYCQB0Y5ISiQmIRQkEAiU5OuVidO0hOqg-BiID-S4znEeIRdvyIiukCNCKiSvwaY44cfm0sGY8fZ9vWmev375-fi93f_49vS427eG97y0B34wklIx2A4G6QznVinaDwp6zgZFLev7g6i2tqpTEuggUNhtx5ALAK5sd9Pcn_POKdaSctGnuKRQn9Rsq4SQNVv_h3qBEbUPLta6zeSz0TvBaHXABavU5j9UnRYnb2JA5-v5X4JPZ4FJMeeETs_JT5BWzah--zJdG6aZ1G-oOKNuKUvCbHxtP-rzbkLrjQ_4r-wXmR6a3A</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Torres, Alejandro J</creator><creator>Sommer, Robert J</creator><creator>Crystal, Matthew A</creator><creator>Vincent, Julie A</creator><creator>Bacha, Emile</creator><creator>Turner, Mariel E</creator><general>Future Medicine Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20150401</creationdate><title>Use of the Baylis radiofrequency trans-septal needle to create an atrial communication in hypoplastic left heart syndrome</title><author>Torres, Alejandro J ; 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Transcatheter trans-septal puncture in the setting of a thickened septum and a small left atrium can be a difficult and dangerous intervention. Trans-septal puncture using the Nykanen radiofrequency (RF) perforation wire in conjunction with a coaxial catheter and the Baylis RF generator has become the standard method in most centers. This approach can be challenging due to technical difficulties related to the RF wire and the flimsy coaxial catheter. We report two patients in whom we used a novel method of perforating the atrial septum using the RF Baylis trans-septal needle. The advantages of this technique are discussed.</abstract><cop>London</cop><pub>Future Medicine Ltd</pub><doi>10.2217/ica.15.1</doi><tpages>6</tpages></addata></record> |
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| ispartof | Interventional cardiology, 2015-04, Vol.7 (2), p.131-136 |
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| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | atrial septostomy Care and treatment congenital heart disease Health aspects Hypoplastic left heart syndrome Radiofrequency ablation radiofrequency perforation trans-septal puncture transcatheter therapy |
| title | Use of the Baylis radiofrequency trans-septal needle to create an atrial communication in hypoplastic left heart syndrome |
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