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[Trans-septal catheterization. Technic and indications].

E D'Annunzio, Y Chabrillat, G Palma

    Giornale Italiano Di Cardiologia
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    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.

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  • 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.