Open AccessTransseptal left heart catheterization: A review of 278 studies
Author(s) -
BLundqvist C.,
Olsson S. B.,
Varnauskas E.
Publication year - 1986
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960090105
Subject(s) - medicine , ventricle , cardiac tamponade , perforation , tamponade , left atrium , cardiology , cardiac catheterization , complication , heart catheterization , surgery , superior vena cava , atrial fibrillation , materials science , punching , metallurgy
In our laboratory, we performed 278 transseptal left heart catheterizations in adult patients over a period of 13 years. The left atrium was entered in 91.4% of the intended left heart catheterizations. Of 252 attempts, the left ventricle was entered in 96.1 %. Major complications were aortic puncture (0.7%), pericardial puncture/suspected tamponade (3.2%), systemic arterial embolism (1.1%), and suspected perforation of the inferior vena cava (0.4%). There were no deaths. Although less frequently performed during the last decade, the transseptal catheterization technique has a complication rate of the same magnitude as during periods when this method was more commonly applied.