NRGTM RF powered transseptal needle: a useful technique for transcatheter atrial septostomy and Fontan fenestration: report of three cases

• Main Authors: Tevfik Karagöz, Alper Akın, Hayrettin Hakan Aykan
• Format: Article
• Language: English
• Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2014-10-01
• Series: Bosnian Journal of Basic Medical Sciences
• Subjects: transseptal puncture; transseptal needle; pulmonary hypertension
• Online Access: http://www.bjbms.org/ojs/index.php/bjbms/article/view/60

Transseptal puncture (TSP) is a frequently performed procedure for gaining access to the left atrium for catheter ablation, hemodynamic assessment of the left heart, left ventricular assist device implantation, percutaneous left atrial appendage closure or mitral valvuloplasty during childhood and adulthood. The standard technique for transseptal puncture applies mechanical pressure on the fossa ovalis with a Brockenbrough needle. However, this method is not feasible when the fossa ovalis is thick and aneurysmatic. In such patients, the radiofrequency ablation energy systems can be offered as a better alternative for TSP. Here, we aimed to demonstrate the outcome of transseptal puncture performed with an NRGTM RF powered transseptal needle in three patients.