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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiac Rhythmology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1493240

Case report: A novel method of needle-free transseptal puncture

Provisionally accepted
Chia-Chen Lee Chia-Chen Lee Chen-An Chao Chen-An Chao Su-Huan Chang Su-Huan Chang Chun-Kai Chen Chun-Kai Chen Yen-Siou Chen Yen-Siou Chen Chang-En Lin Chang-En Lin Tsung-Ping Jeng Tsung-Ping Jeng Chih-Chieh Yu Chih-Chieh Yu *
  • National Taiwan University Hospital, Taipei, Taiwan

The final, formatted version of the article will be published soon.

    Background: In the era of fluoroless catheter ablation (CA), achieving a successful transseptal puncture (TSP) presents a significant challenge. We introduce a novel technique for zero-fluoroscopy and cost-effective needle-free TSP. Case summary: We describe two cases where a GMS-1 guidewire (0.025-inch, pigtail configuration; Toray Medical Co., Ltd., Japan) was utilized for TSP. This technique was performed using either fluoroscopy or intracardiac echocardiography (ICE). The procedure was completed successfully in both cases, with no complications reported. Conclusion: The use of a 0.025-inch GMS-1 guidewire with an electrocautery technique enables effective transseptal puncture without the need for a needle or fluoroscopy. This novel approach offers a safe, efficient, and zero-fluoroscopic alternative for TSP.

    Keywords: Electrophysiology, Atrial Fibrillation, Transseptal puncture, Intracardiac echocardiography, Electrocautery

    Received: 08 Sep 2024; Accepted: 19 Nov 2024.

    Copyright: © 2024 Lee, Chao, Chang, Chen, Chen, Lin, Jeng and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chih-Chieh Yu, National Taiwan University Hospital, Taipei, Taiwan

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