The experience of the use of intracardiac echocardiography during puncture of atrial septum

A. V. Ardashev*, D. A. Mangutov, N. V. Korneev, E. G. Zheliakov, S. V. Voloshko, A. O. Dzhandzhgava, A. A. Shavarov, A. V. Konev, T. V. Davydova, M. I. Chernov, O. R. Derevianko

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

We analyzed results of 175 intracardiac ultrasound studies (ICUS) in 113 men (mean age 54,6 +/- 11,0 years) and 62 women (mean age 49,7 +/- 8,9 years) with atrial fibrillation (n=146) and WPW syndrome (n=29). ICUS was used for guidance of catheters or electrodes from right to left atrium through atrial septum in 160 procedures of radiofrequency ablations for atrial fibrillation (n=146) or WPW syndrome (n=14). Complications of transseptal puncture developed in 4 patients (2,7%) with atrial fibrillation. There were no procedure related deaths. In all cases ICUS allowed to visualize interatrial septum and its thinnest part. Thus ICUS facilitates transseptal approach to the left atrium, provides lowering of risk of dangerous complications, and allows real time monitoring of possible intraprocedural complications.

Original languageEnglish (US)
Pages (from-to)25-29
Number of pages5
JournalKardiologiya
Volume48
Issue number7
StatePublished - 2008

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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