JaypeeDigital | Use of Safe-Sept Guidewire in Transseptal Access

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Chapter-16 Use of Safe-Sept Guidewire in Transseptal Access

BOOK TITLE: Percutaneous Mitral Valvotomy

Author

1. Asmundis Carlo de
2. Rao Jayakeerthi Yoganarasimha
3. Brugada Pedro
4. Moran Darragh
5. Chierchia Gian-Battista

ISBN

9789352701926

DOI

10.5005/jp/books/14152_17

Edition

2/e

Publishing Year

2018

Pages

Author Affiliations

1. Heart Rhythm Management Centre, UZ Brussel-Vrije Universiteit Brussel, Brussels, Belgium, UZ Brussel, Vrije Universiteit Brussel Brussels, Belgium
2. Heart Rhythm Management Centre, UZ Brussel-Vrije Universiteit Brussel, Brussels, Belgium, Apollo Health City Jubilee Hills, Hyderabad, India
3. Heart Rhythm Management Centre, UZ Brussel-Vrije Universiteit Brussel, Brussels, Belgium, Heart Rhythm Management Center, UZ Brussel, Vrije Universiteit Brussel, Belgium
4. Royal College of Physicians of Ireland, Ireland
5. UZ Brussel-Vrije Universiteit Brussel, Brussels, Belgium

Chapter keywords

Transseptal, TS, Safe-sept guidewire, FO, fossa ovalis, transesophageal echocardiography, TEE, fluoroscopic image

Abstract

Abstract

Transseptal (TS) puncture is a key feature of procedures requiring direct access to the left-sided cardiac chambers, be it interventions on the mitral valve or ablations on the left side. The risk of complications related to transseptal puncture is estimated to be less than 1%, although this is mostly attributed to its long learning curve, and it is considered a relatively safe and straightforward procedure in experienced hands. The Safe-sept guidewire is made of nitinol, and is J-shaped at the distal end, with a sharp-tip. It is 135 cm long and 0.014 in diameter, and allows compatibility with all currently available adult TS introducer systems. Advantages of safe-sept guidewire and limitations of safe-sept guidewire are also discussed in this chapter.

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