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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Lack of Association Between the Outcomes of Aortic Valve Implantation and Edge-to-Edge Repair at US Transcatheter Valve Programs.

The American journal of cardiology·2023
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Hemodynamic Profiling of Patients Undergoing Transcatheter Mitral Edge-to-Edge Repair.

JACC. Cardiovascular interventions·2023
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Nonthrombogenic Roles of the Left Atrial Appendage: JACC Review Topic of the Week.

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Risks of Right Heart Catheterization and Right Ventricular Biopsy: A 12-year, Single-Center Experience.

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The impact of baseline transmitral diastolic mean gradient on left atrial pressure reduction in patients undergoing transcatheter mitral valve edge-to-edge repair.

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Related Experiment Video

Updated: Mar 9, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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Transseptal Techniques for Emerging Structural Heart Interventions.

Mohamad Alkhouli1, Charanjit S Rihal1, David R Holmes1

  • 1Divisions of Cardiovascular Diseases and Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota.

JACC. Cardiovascular Interventions
|December 24, 2016
PubMed
Summary
This summary is machine-generated.

New transseptal puncture techniques are crucial for structural heart disease interventions. This review covers current indications, methods, and managing complications for transseptal access.

Keywords:
fossa ovalisleft atrial appendagemitral valve repairpulmonary vein isolationsite-specific puncturetransseptal puncture

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Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter
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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Structural Heart Disease

Background:

  • Transcatheter interventions for structural heart disease are rapidly advancing.
  • Transseptal puncture is a critical step in many of these procedures.
  • Growing interest necessitates a review of current practices.

Purpose of the Study:

  • To review contemporary indications for transseptal puncture.
  • To detail current transseptal puncture techniques.
  • To provide guidance on challenging access and complications.

Main Methods:

  • Literature review of transseptal puncture techniques.
  • Analysis of contemporary indications and procedural steps.
  • Discussion of strategies for difficult access and complication management.

Main Results:

  • Transseptal puncture is essential for numerous structural heart interventions.
  • Detailed step-by-step guidance for transseptal access is provided.
  • Strategies for managing challenging access and procedural complications are outlined.

Conclusions:

  • Transseptal puncture techniques are evolving with transcatheter interventions.
  • A thorough understanding of indications and techniques is vital for procedural success.
  • This review offers a practical approach to optimizing transseptal access and patient safety.