Transeptal puncture in patients with intracardiac devices
When TSP was performed in a presence of a CIED its interrogation with
testing lead sensing, pacing threshold and impedance was performed
before and after the procedure. Also, lead position was repeatedly
visualized with ICE during the pull-down maneuver of the long
sheath/dilator/needle assembly to avoid possible entanglement and lead
dislocation. X-ray fluoroscopy was not used for TSP in patients with
CIEDs.