University Hospital, Zurich, Switzerland.
EuroIntervention. 2021 Oct 20;17(9):720-727. doi: 10.4244/EIJ-D-20-00454.
A number of interventional procedures based on the transseptal puncture (TSP) have been developed in recent years. The increasing number of interventional procedures, as well as the use of large-bore sheaths and complex devices, has led to improvements in technique and equipment. The combined use of fluoro-scopy and of transoesophageal echocardiography (TEE) has increased safety and precision. However, TSP still represents a tricky procedure, which may become even more difficult in cases of challenging interatrial septa, and life-threatening complications may occur. Consequently, an in-depth knowledge of procedural steps, equipment, echocardiographic views, fossa ovalis anatomy and how to manage the most frequent complications is critical to performing a successful TSP.
近年来，已经开发出了许多基于经房间隔穿刺（TSP）的介入性操作。越来越多的介入性操作，以及大口径鞘管和复杂设备的使用，使得技术和设备得到了改进。荧光透视和经食管超声心动图（TEE）的联合使用提高了安全性和准确性。然而，TSP 仍然是一项棘手的操作，在遇到具有挑战性的房间隔时可能会变得更加困难，并且可能会发生危及生命的并发症。因此，深入了解操作步骤、设备、超声心动图视图、卵圆孔解剖结构以及如何处理最常见的并发症对于成功进行 TSP 至关重要。
