Shifting of Puncture Site in the Fossa Ovalis During Radiofrequency Catheter Ablation: Intracardiac Echocardiography-guided Transseptal Left Heart Catheterization:Intracardiac Echocardiography-guided Transseptal Left Heart Catheterization

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概要

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• Intracardiac echocardiography (ICE) serves as an adjunct to fluoroscopy for electrophysiological procedures by identifying critical anatomic landmarks and confirming catheter-endocardial contact. In the present study, we investigated the usefulness of ICE for radiofrequency catheter ablation. ICE was utilized to guide transseptal puncture in 19 patients undergoing radiofrequency catheter ablation. The fossa ovalis, which was one critical anatomic landmark, had an average vertical diameter of 18.5 ± 6.9 mm and an average horizontal diameter of 10.0 ± 2.4 mm, as measured by ICE and fluoroscopy. Although there was only a small shift of the puncture site in the horizontal direction, the puncture site shifted towards the upper edge of the fossa ovalis for 17 patients (89%). Furthermore, we could verify that the distance between the apex of the tent-shape formed by the pressure of the puncture needle in the fossa ovalis and the left atrial wall opposing it was sufficient to carry out the procedure safely. Confirming the puncture site using ICE is useful in carrying out transseptal left heart catheterization safely.

• International Heart Journal刊行会の論文

著者

• Suyama Kazuhiro

  Department of Cardiology, National Cardiovascular Center

• Kamakura Shiro

  Department Of Cardiology National Cardiovascular Center

• Shimizu Wataru

  Department Of Biotechnology Faculty Of Engineering Nagoya University

• Hanaoka Takeshi

  First Department of Internal Medicine, Shinshu University School of Medicine

• Taguchi Atsushi

  Department Of Cardiology Hamamatsu Rosai Hospital

• Kurita Takashi

  Department Of Cardiovascular Dynamics National Cerebral And Cardiovascular Center Research Institute

• Aihara Naohiko

  Department of Cardiology, National Cerebral and Cardiovascular Center

• Suyama Kazuhiro

  Department of Internal Medicine, National Cardiovascular Center

• Taguchi Atsushi

  Department of Internal Medicine, National Cardiovascular Center

• Kamakura Shiro

  Department of Internal Medicine, National Cardiovascular Center

• Kurita Takashi

  Department of Internal Medicine, National Cardiovascular Center

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