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[Trans-septal catheterization. Technic and indications]
Giornale Italiano Di Cardiologia
|March 1, 1984
Summary
Transseptal catheterization via the right femoral vein is a viable technique for left heart evaluation. Careful maneuvers in the right atrium minimize complications like cardiac perforation and embolization.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Catheterization
Context:
- Left heart catheterization is crucial for evaluating conditions such as aortic valve stenosis and prosthetic valves.
- Transseptal catheterization provides access to the left heart chambers.
- The right femoral vein is a potential access route for cardiac procedures.
Purpose:
- To describe the experience and safety of transseptal catheterization via the right femoral vein.
- To evaluate the technique in patients needing hemodynamic assessment for aortic valve stenosis and prosthetic valves.
- To highlight critical maneuvers for complication avoidance.
Summary:
- Transseptal catheterization of the left heart was performed via the right femoral vein in 50 patients.
- The procedure was utilized for hemodynamic evaluation in 15 patients with aortic valve stenosis and 35 with prosthetic valves.
- Key intra-atrial maneuvers were emphasized to prevent complications such as cardiac perforation, intramyocardial contrast injection, and mass embolization.
Impact:
- Demonstrates the feasibility of a less common transseptal access route.
- Provides insights into managing potential complications during left heart catheterization.
- Contributes to the understanding of interventional techniques for valvular heart disease assessment.