Unstructured Abstract
Compared to fluoroscopy, intracardiac echocardiography (ICE) provides
better anatomical visualization and early recognition of complications
related to transseptal puncture (TSP). A total of 949 ICE-guided TSPs
(586 fluoroless left-sided arrhythmia procedures) performed in adult and
pediatric patients were retrospectively analyzed. With a 99.8% success
rate and only 1 transseptal access related pericardial tamponade
(0.2%), entirely ICE-guided TSP can be successfully and safely
performed in fluoroless CA of left-sided arrhythmias. As 1 lead
dislocation was recorded following TSP caution is advised in patients
with intracardiac electronic devices.