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First experience with a transseptal puncture using a novel transseptal crossing device with integrated dilator and needle

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Abstract

Background

This study aimed to evaluate the feasibility and safety of an innovative “all in one” integrated transseptal crossing device to achieve transseptal puncture (TSP).

Methods

Twenty patients (10 males, mean age 65.65 ± 9.25 years), indicated to supraventricular left side tachyarrhythmia ablation, underwent TSP using a new-generation integrated crossing device, and a control cohort of twenty patients (10 males, mean age 65.5 ± 10.12 years) underwent TSP using the traditional TSP system.

Results

In all the study patients, the novel TSP device led to a successful and safe access to the left atrium (LA). The mean transseptal time, defined as the time occurring between the groin puncture and the advancing of the guidewire into the left superior pulmonary vein (PV), was 3 min 33 s ± 44 s, 7 min 5 s ± 36 s in the control cohort. Additionally, we compared the cost of the two systems. No acute complications related to the TSP were noted in both cohorts.

Conclusions

TSP performed with the new integrated transseptal system is feasible and safe.

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Author information

Author notes

  1. Sergio Rizzi and Luigi Pannone equally contributed to the manuscript.

  2. Gian Battista Chierchia and Carlo De Asmundis equally contributed as senior authors.

Authors and Affiliations

  1. Heart Rhythm Management Centre, Postgraduate Course in Cardiac Electrophysiology and Pacing, European Reference Networks Guard-Heart, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium

    Sergio Rizzi, Luigi Pannone, Cinzia Monaco, Antonio Bisignani, Vincenzo Miraglia, Anais Gauthey, Gezim Bala, Maysam Al Housari, Felicia Lipartiti, Joerelle Mojica, Alvise Del Monte, Sahar Mouram, Juan Sieira, Erwin Ströker, Alexandre Almorad, Saverio Iacopino, Gian Battista Chierchia & Carlo De Asmundis

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  1. Sergio Rizzi
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  2. Luigi Pannone
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  3. Cinzia Monaco
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  4. Antonio Bisignani
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  7. Gezim Bala
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  8. Maysam Al Housari
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  9. Felicia Lipartiti
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  13. Juan Sieira
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  14. Erwin Ströker
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  15. Alexandre Almorad
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  16. Saverio Iacopino
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  17. Gian Battista Chierchia
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  18. Carlo De Asmundis
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Corresponding author

Correspondence to Gian Battista Chierchia.

Ethics declarations

Ethics approval and consent to participate

All patients signed an informed consent that have been approved by our institutional review board. The study complied with the Declaration of Helsinki as reviewed in 2013. The ethic committee approved the study.

Conflict of interest

Carlo de Asmundis receives research grants on behalf of the center from Biotronik, Medtronic, Abbott, LivaNova, Boston Scientific, AtriCure, Philips and Acutus; he received compensation for teaching purposes and proctoring from Medtronic, Abbott, Biotronik, Livanova, Boston Scientific, Atricure and Daiichi Sankyo. Gian B. Chierchia has received compensation for teaching purposes and proctoring from AF Solutions, Medtronic and Biotronik, teaching and speaker fees for Acutus Medical. V. Miraglia has received an educational grant from “Foundation Enrico and Enrica Sovena.” Other authors: no disclosures.

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Rizzi, S., Pannone, L., Monaco, C. et al. First experience with a transseptal puncture using a novel transseptal crossing device with integrated dilator and needle. J Interv Card Electrophysiol 65, 731–737 (2022). https://doi.org/10.1007/s10840-022-01329-3

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  • DOI: https://doi.org/10.1007/s10840-022-01329-3

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