Lee Chia-Chen, Chao Chen-An, Chang Su-Huan, Chen Chun-Kai, Chen Yen-Siou, Lin Chang-En, Jeng Tsung-Ping, Yu Chih-Chieh
Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Front Cardiovasc Med. 2024 Dec 3;11:1493240. doi: 10.3389/fcvm.2024.1493240. eCollection 2024.
In the era of fluoroless catheter ablation (CA), achieving a successful transseptal puncture (TSP) presents a significant challenge. We introduce a novel technique for zero-fluoroscopy and cost-effective needle-free TSP.
We describe two cases where a GMS-1 guidewire (0.025 inch, pigtail configuration; Toray Medical Co., Ltd., Japan) was utilized for TSP. This technique was performed using either fluoroscopy or intracardiac echocardiography (ICE). The procedure was completed successfully in both cases, with no complications reported.
The use of a 0.025 inch GMS-1 guidewire with an electrocautery technique enables effective transseptal puncture without the need for a needle or fluoroscopy. This novel approach offers a safe, efficient, and zero-fluoroscopic alternative for TSP.
在无荧光导管消融（CA）时代，成功进行经房间隔穿刺（TSP）是一项重大挑战。我们介绍一种用于零荧光且经济高效的无针TSP的新技术。
我们描述了两例使用GMS-1导丝（0.025英寸，猪尾形；日本东丽医疗株式会社）进行TSP的病例。该技术使用荧光透视或心腔内超声心动图（ICE）进行。两例均成功完成手术，未报告并发症。
使用0.025英寸GMS-1导丝结合电灼技术可实现有效的经房间隔穿刺，无需使用针头或荧光透视。这种新方法为TSP提供了一种安全、高效且零荧光的替代方案。
