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在射频针穿刺失败后，使用集成式经间隔导丝系统通过戈尔心脏型房间隔缺损封堵器成功实现左心房通路。

Successful left atrial access through GORE CARDIOFORM ASD occluder using an integrated transseptal wire system after failed RF needle approach.

作者信息

Suzuki Yuko, Nakamura Keijiro, Shimizu Takayuki, Asami Masako, Hara Hidehiko

机构信息

Division of Cardiovascular Medicine Toho University Ohashi Medical Center Tokyo Japan.

出版信息

J Arrhythm. 2025 Jun 30;41(4):e70123. doi: 10.1002/joa3.70123. eCollection 2025 Aug.

DOI:10.1002/joa3.70123
PMID:40599723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207242/
Abstract

An integrated transseptal wire system enabled successful left atrial access through the elastic resistance posed by a large GORE CARDIOFORM ASD occluder after failed RF needle attempt, allowing large-bore cryoballoon sheath advancement via sequential sheath technique for atrial fibrillation ablation without procedural complications.

摘要

一种集成的经间隔导丝系统，在射频针尝试失败后，能够成功穿过大型GORE CARDIOFORM房间隔缺损封堵器造成的弹性阻力进入左心房，从而通过序贯鞘管技术推进大口径冷冻球囊鞘管进行房颤消融，且无手术并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799d/12207242/f02bdb0a8712/JOA3-41-e70123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799d/12207242/6e47818ec237/JOA3-41-e70123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799d/12207242/f02bdb0a8712/JOA3-41-e70123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799d/12207242/6e47818ec237/JOA3-41-e70123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799d/12207242/f02bdb0a8712/JOA3-41-e70123-g002.jpg

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本文引用的文献

1
Successful Transseptal Puncture of Giant Atrial Septal Aneurysm With a Novel Transseptal Guidewire.使用新型经间隔导丝成功穿刺巨大房间隔瘤
JACC Case Rep. 2025 May 7;30(9):103284. doi: 10.1016/j.jaccas.2025.103284. Epub 2025 Feb 26.
2
Transseptal puncture in patients with septal occluder devices during catheter ablation of atrial fibrillation.房间隔封堵器患者行导管消融术治疗心房颤动时的房间隔穿刺。
EuroIntervention. 2022 Jan 28;17(13):1112-1119. doi: 10.4244/EIJ-D-21-00340.
3
ASSURED clinical study: New GORE® CARDIOFORM ASD occluder for transcatheter closure of atrial septal defect.
ASSURED 临床研究：新型戈尔 CARDIOFORM ASD 封堵器经导管闭合房间隔缺损。
Catheter Cardiovasc Interv. 2020 Jun 1;95(7):1285-1295. doi: 10.1002/ccd.28728. Epub 2020 Jan 14.
4
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.
5
Transseptal access and atrial fibrillation ablation guided by intracardiac echocardiography in patients with atrial septal closure devices.经心腔内超声心动图引导的房间隔闭合装置患者的经房间隔入路和心房颤动消融。
Heart Rhythm. 2011 Nov;8(11):1669-75. doi: 10.1016/j.hrthm.2011.06.023. Epub 2011 Jun 22.
6
Incidence of atrial fibrillation following transcatheter closure of atrial septal defects in adults.成人房间隔缺损经导管封堵术后房颤的发生率
Am J Cardiol. 2008 Oct 1;102(7):902-6. doi: 10.1016/j.amjcard.2008.05.045. Epub 2008 Jul 17.
7
Predisposing conditions for atrial fibrillation in atrial septal defect with and without operative closure.
Am J Cardiol. 2002 Jan 1;89(1):39-43. doi: 10.1016/s0002-9149(01)02160-9.