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Transatrial management of inadvertent puncture of the posterior wall during transseptal access for atrial fibrillation ablation: technical report

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Abstract

Transseptal puncture for atrial fibrillation ablation is a safe and common procedure. However, complications, such as cardiac tamponade, may be fatal if not recognized and treated. Our goal is to report a bailout strategy, by which management of an inadvertent puncture of the posterior wall of the left atrium was possible. It was followed by successful pulmonary vein isolation, without the need for subsequent subxiphoid puncture.

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Authors and Affiliations

  1. Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, 01000-000, Brazil

    Muhieddine Omar Chokr, Italo Bruno dos Santos Sousa, Tamer El Andere, Alexandra Régia Dantas Brígido, Luiz Fernando Fagundes de Gouvêa Filho & Mauricio Ibrahim Scanavacca

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  1. Muhieddine Omar Chokr
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  2. Italo Bruno dos Santos Sousa
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  3. Tamer El Andere
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  4. Alexandra Régia Dantas Brígido
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  5. Luiz Fernando Fagundes de Gouvêa Filho
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  6. Mauricio Ibrahim Scanavacca
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All authors contributed to study conception and design.

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Correspondence to Tamer El Andere.

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Chokr, M.O., Sousa, I.B.d., El Andere, T. et al. Transatrial management of inadvertent puncture of the posterior wall during transseptal access for atrial fibrillation ablation: technical report. J Interv Card Electrophysiol 64, 35–37 (2022). https://doi.org/10.1007/s10840-021-01025-8

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  • DOI: https://doi.org/10.1007/s10840-021-01025-8

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