Transseptal Catheterization and Interventions

The first comprehensive resource on transseptal catheterization.

Although the transseptal technique was described half a century ago, it has remained essentially unchanged. Recent advances in cardiac electrophysiology and left heart interventions have led to renewed interest in the technique as a means of delivering modern therapeutic interventions.

Until now, the knowledge required for safely gaining access to the left atrium to perform catheter ablation for atrial fibrillation or other interventions has existed only in original publications and review articles. This textbook brings all of the relevant information about this technique under one cover, with top experts in each area addressing anatomy, indications, transseptal puncture, visualization technologies, interventional devices, challenging cases, complications, and emerging tools. Electrophysiologists and interventional cardiologists will find Transseptal Catheterization and Interventions invaluable for their work. For teachers and trainees, it will be a welcome teaching tool and resource.

Table of Contents:

1. History of Transseptal Catheterization
Gregory K. Feld MD, John Ross Jr MD

2. Embryology and Anatomy of the Atrial Septum
Siew Yen Ho PhD

3. Radiographic Anatomy of the Atria for the Interventional Electrophysiologist
Isabelle Nault MD, Pierre Jais MD, Sabastien Knecht MD

4. Indications and Contraindications for Transseptal Catheterization
Hakan Oral MD, Michael Kuhne MD

5. Equipment for Transseptal Punctures
David Callans MD, Peter Leong-Sit MD

6. Fluoroscopy-Guided Transseptal Catheterization
Kalyanam Shivkumar MD, Michael M. Shehata MD

7. Transseptal Catheterization Guided by Transthoracic and Transesophageal Echocardiography
Bradley P. Knight MD, Matthew P. Smelley MD

8. Intracardiac Echocardiography to Guide Transseptal Puncture
Andrea Natale MD, Conor D. Barrett MD, Luigi Di Biase MD, J. David Burkhardt MD, Rodney P. Horton MD, Sheldon M. Singh MD, Moussa Mansour MD

9. Transseptal Catheterization in Electrophysiology Procedures in Children and Patients with Congenital Heart Disease
Edward P. Walsh MD, Richard J. Czosek MD, John K. Triedman MD

10. Challenging Transseptal Catheterization
Yu-Feng Hu MD, Ming-Hsiung Hsieh MD, Shih-Ann Chen MD

11. Transcatheter Atrial Septal Defect Device Closure
Ziyad M. Hijazi MD, Sawsan M. Awad MD, Qi-Ling Cao MD

12. Transseptal Left Heart Interventions
Samin K. Sharma MD, Mehul B. Patel MD

13. Percutaneous Left Atrial Appendage Occlusion Devices
Rodney Horton MD, Javier E. Sanchez MD, Yan Wang MD, Andrea Natale MD

14. New Tools and Technology for Transseptal Catheterization
Vivek Y. Reddy MD, Sheldon M. Singh MD

15. Complications of Transseptal Catheterization
Ranjan Thakur MD, Mehul B. Patel MD, Khyati Pandya MD, Atul Khasnis MD

Ranjan Thakur MD, MPH, MBA, FHRS, Professor of Medicine and Director, Electrophysiology Fellowship, Thoracic and Cardiovascular Institute, Sparrow Health System, Michigan State University, Lansing, Michigan

Andrea Natale MD, FACC, FHRS, Executive Medical Director, Texas Cardiac Arrhythmia Institute, St. David s Medical Center, Austin, Texas; Consulting Professor, Division of Cardiology, Stanford University, Stanford, California; Clinical Associate Professor of Medicine, Case Western Reserve University, Cleveland, Ohio; Senior Clinical Director, EP Services, California Pacific Medical Center, San Francisco, California; and Director of Interventional EP, Scripps Green, San Diego, California