Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5595367 | The American Journal of Cardiology | 2017 | 6 Pages |
Abstract
Conventional TSP was successful in 89.6% of patients with the first attempt. Second and third attempts were required in 4.1% and 1.4%, respectively. Septal puncture was achieved at the first attempt in 10 patients within a median of 1Â second of DI maneuver (interquartile range, 1 to 3) and without any complications. Challenging IAS anatomy consisting of IAS aneurysm, a thick IAS, and an excessively mobile IAS were more frequent in the DI-TSP group (45% to 8%, 27% to 3%, and 21% to 5%, respectively, p <0.001). In conclusion, TSP by using the DI maneuver may be a reliable and safe method after failed conventional attempts. If there is any doubt about the correct location of the needle, additional imaging modalities have to be used.
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Authors
Tolga MD, FESC, Tumer Erdem MD, Kivanc MD, Sukriye Ebru MD, Kazim Serhan MD, Niyazi MD,