房间隔袋状结构是肺静脉隔离术中经房间隔穿刺失败的主要原因。 - Suppr

Atrial septal pouch as the main cause of failed transseptal puncture in pulmonary vein isolation.

作者信息

Del Valle-Montero José Andrés, Esteve-Ruiz Irene, Moraleda-Salas María Teresa, Moriña-Vázquez Pablo, Manovel-Sánchez Ana José, Gómez-Menchero Antonio Enrique

机构信息

Department of Electrophysiology, Hospital Juan Ramón Jiménez, Huelva, Spain.

出版信息

J Interv Card Electrophysiol. 2025 Nov;68(8):1551-1552. doi: 10.1007/s10840-025-02067-y. Epub 2025 May 13.

DOI:10.1007/s10840-025-02067-y

PMID:40358874

Abstract

摘要

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Atrial septal pouch as the main cause of failed transseptal puncture in pulmonary vein isolation.房间隔袋状结构是肺静脉隔离术中经房间隔穿刺失败的主要原因。

J Interv Card Electrophysiol. 2025 Nov;68(8):1551-1552. doi: 10.1007/s10840-025-02067-y. Epub 2025 May 13.

Transseptal puncture for catheter ablation of atrial fibrillation in patients with septal occluder devices.房间隔封堵器植入患者行房颤导管消融时的经房间隔穿刺术

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JACC Case Rep. 2025 May 7;30(9):103284. doi: 10.1016/j.jaccas.2025.103284. Epub 2025 Feb 26.

Atrial septal pouches and ridges: Morphological features and potential implications in clinical practice.房间隔憩室和嵴：形态学特征及其在临床实践中的潜在意义。

Trends Cardiovasc Med. 2024 Oct;34(7):436-443. doi: 10.1016/j.tcm.2023.12.007. Epub 2023 Dec 27.

High rate of persistent iatrogenic atrial septal defect after single transseptal puncture for cryoballoon pulmonary vein isolation.冷冻球囊肺静脉隔离术单次经房间隔穿刺后医源性房间隔缺损持续存在的发生率较高。

J Interv Card Electrophysiol. 2018 Jul;52(2):141-148. doi: 10.1007/s10840-018-0352-0. Epub 2018 Mar 24.

Safety and feasibility of transseptal puncture for atrial fibrillation ablation in patients with atrial septal defect closure devices.房间隔缺损封堵装置患者行房颤消融术时经房间隔穿刺的安全性与可行性

Heart Rhythm. 2014 Feb;11(2):330-5. doi: 10.1016/j.hrthm.2013.11.011. Epub 2013 Nov 14.

Coronary artery spasm complicated by atrial septal puncture: A case report.冠状动脉痉挛合并房间隔穿刺：一例报告。

Medicine (Baltimore). 2025 Aug 1;104(31):e43679. doi: 10.1097/MD.0000000000043679.

Leveraging a randomized trial to assess relationships between transeptal puncture, brain emboli, and migraine symptoms.利用一项随机试验评估经中隔穿刺、脑栓塞和偏头痛症状之间的关系。

Heart Rhythm. 2025 Jul 7. doi: 10.1016/j.hrthm.2025.06.035.

Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter.在操作冷冻球囊消融导管时，采用前下经房间隔穿刺部位减少医源性房间隔缺损。

J Vis Exp. 2015 Jun 15(100):e52811. doi: 10.3791/52811.

Predictors of iatrogenic atrial septal defects: analysis of fibrotic atrial cardiomyopathy, valvular disease, and transseptal sheath size.医源性房间隔缺损的预测因素：纤维化心房心肌病、瓣膜疾病及经房间隔鞘管尺寸的分析

J Interv Card Electrophysiol. 2025 May 19. doi: 10.1007/s10840-025-02065-0.

本文引用的文献

The left atrial septal pouch as a risk factor for stroke: A systematic review.左心房间隔袋作为中风的一个危险因素：一项系统综述。

Arch Cardiovasc Dis. 2017 Apr;110(4):250-258. doi: 10.1016/j.acvd.2017.01.001. Epub 2017 Feb 21.

Septal pouch in the left atrium: a new anatomical entity with potential for embolic complications.左心房中隔囊袋：具有潜在栓塞并发症的新解剖学实体。

JACC Cardiovasc Interv. 2010 Jan;3(1):98-104. doi: 10.1016/j.jcin.2009.07.017.

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Atrial septal pouch as the main cause of failed transseptal puncture in pulmonary vein isolation.

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