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Europace Advance Access originally published online on April 10, 2009
Europace 2009 11(5):657-659; doi:10.1093/europace/eup089
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Novel trans-septal approach using a Safe Sept J-shaped guidewire in difficult left atrial access during atrial fibrillation ablation

Carlo de Asmundis*, Gian Battista Chierchia, Andrea Sarkozy, Gaetano Paparella, Markus Roos, Lucio Capulzini, Stephan Andreas Muller Burri, Yoshinao Yazaki and Pedro Brugada

Heart Rhythm Management Center, UZ Brussel-VUB, Laarbeeklaan 101, 1090 Brussels, Belgium

Nowadays, trans-septal (TS) puncture is a relatively safe and straightforward procedure in experienced hands. However, in the presence of a thick, aneurysmatic or extremely elastic fossa ovalis crossing the septum might be challenging. We here describe the use of a novel guidewire that permits easy and safe ‘over the wire’ TS access during atrial fibrillation ablation.

* Corresponding author. Tel: +32 2 476 3704, Fax: +32 2 477 6840, Email: carlo.deasmundis{at}uzbrussel.be; carlodeasmundis{at}me.com

Manuscript submitted 15 January 2009. Accepted after revision 19 March 2009.


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