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.