Transseptal puncture in pediatric patients
In our analysis, all 46 pediatric patients with left-sided AP mediated
tachycardia had successful TSPs without any complications. Present
findings are in line with Clark et al. (14) who presented transseptal
procedures in 9 pediatric patients without the use of fluoroscopy.
Compared to the latter study, we also included smaller children weighing
less than 30 kg where ICE was particularly useful to control the needle
direction and monitor the space between the bulging IAS and LA wall with
very small maneuvering space.