How to perform left atrial transseptal access and catheter ablation of atrial fibrillation from a superior approach

Pasquale Santangeli, Santhisri Kodali, Jackson J. Liang

Research output: Contribution to journalArticlepeer-review

Abstract

The standard technique for percutaneous catheter ablation of atrial fibrillation (AF) involves obtaining left atrial access and catheter manipulation from an inferior transfemoral venous access. However, in patients with inferior vena cava interruption, a standard transfemoral venous approach is not possible. In these cases, a percutaneous approach from a superior central vein, such as the internal jugular vein or the axillary/subclavian vein can be considered. In this article, we describe the details of our technique to obtain left atrial catheterization and perform catheter ablation of AF from a superior approach. Our technique involves the use of steerable sheaths, dedicated radiofrequency wires, and intracardiac echocardiography guidance.

Original languageEnglish (US)
Pages (from-to)293-299
Number of pages7
JournalJournal of Cardiovascular Electrophysiology
Volume31
Issue number1
DOIs
StatePublished - Jan 1 2020

Keywords

  • atrial fibrillation
  • catheter ablation
  • interrupted inferior vena cava
  • transseptal access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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