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Transseptal Puncture

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Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair

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Abstract

The transseptal puncture is a critical part of the MitraClip procedure. It is performed under transesophageal echocardiographic guidance because precise localization of the puncture site is crucial for the rest of the procedure. The location of the puncture determines the maneuverability of the MitraClip guide and the clip delivery system (CDS). A properly selected puncture site allows for a smooth and uncomplicated procedure, while a poorly selected location will result in difficulties in positioning the MitaClip and a prolonged procedure. In addition, transseptal puncture is also associated with risks of inadvertent puncture of the aorta, perforation of the atrium, and pericardial tamponade. This chapter reviews the key steps in the transseptal puncture for the MitraClip procedure.

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Medicine, University of California, Davis Medical Center, 4860 Y Street, Suite 2820, Sacramento, CA, 95817, USA

    Khung Keong Yeo M.B.B.S., FACC, FSCAI, Jason Rogers M.D., FACC, FSCAI & Reginald Low M.D., FACC

  2. Department of Cardiology, National Heart Centre Singapore, Mistri Wing, 17 Third Hospital Avenue, Singapore, 168752, Singapore

    Khung Keong Yeo M.B.B.S., FACC, FSCAI

Authors
  1. Khung Keong Yeo M.B.B.S., FACC, FSCAI
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  2. Jason Rogers M.D., FACC, FSCAI
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  3. Reginald Low M.D., FACC
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Corresponding author

Correspondence to Khung Keong Yeo M.B.B.S., FACC, FSCAI .

Editor information

Editors and Affiliations

  1. Cardiology Division, Evanston Hospital, Illinois, USA

    Ted Feldman M.D., FESC, FACC, FSCAI

  2. Department of Cardiology, Rigshospitalet University Hospital, Copenhagen, Denmark

    Olaf Franzen M.D

  3. Royal Brompton Hospital Royal Brompton and Harefield NHS Foundation Trust, London, UK

    Olaf Franzen M.D

  4. Department of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA

    Reginald Low M.D., FACC , Jason Rogers M.D., FACC, FSCAI  & Khung Keong Yeo M.B.B.S., FACC, FSCAI ,  & 

  5. Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore

    Khung Keong Yeo M.B.B.S., FACC, FSCAI

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© 2013 Springer-Verlag London

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Yeo, K.K., Rogers, J., Low, R. (2013). Transseptal Puncture. In: Feldman, T., Franzen, O., Low, R., Rogers, J., Yeo, K.K. (eds) Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair. Springer, London. https://doi.org/10.1007/978-1-4471-4294-2_7

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  • DOI: https://doi.org/10.1007/978-1-4471-4294-2_7

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4293-5

  • Online ISBN: 978-1-4471-4294-2

  • eBook Packages: MedicineMedicine (R0)

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