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Europace Advance Access published online on May 9, 2007
Europace, doi:10.1093/europace/eum070
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

One-puncture, double-transseptal catheterization manoeuvre in the catheter ablation of atrial fibrillation

Takumi Yamada*, Hugh T. McElderry, Andrew E. Epstein, Vance J. Plumb and G. Neal Kay

Division of Cardiovascular Diseases, Cardiac Rhythm Management Laboratory, University of Alabama at Birmingham, VH B147, 1670 University Boulevard, 1530 3rd AVE S, Birmingham, AL 35294-0019, USA

Pulmonary vein isolation (PVI) guided by circumferential mapping has been established as a curative treatment of atrial fibrillation. In the PVI technique, two transseptal catheters are necessary for mapping and catheter ablation. The one-puncture, double-transseptal catheterization manoeuvre is generally used in the PVI technique. However, to the best of our knowledge, there have been no reports describing transseptal manoeuvre in detail. In this article, the manoeuvre to achieve double-transseptal catheterization easily and safely is described.

Key Words: Atrial fibrillation, Transseptal procedure, Radiofrequency catheter ablation

* Corresponding author. Tel: +1 205 975 4724; fax: +1 205 975 4720. E-mail address: takumi-y{at}fb4.so-net.ne.jp

Manuscript submitted 27 December 2006. Accepted after revision 19 March 2007.


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