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CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava  Felix Bourier, MD, Sonia Ammar, MD, Tilko.

Published byKerry Mosley Modified over 5 years ago

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Presentation on theme: "CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava  Felix Bourier, MD, Sonia Ammar, MD, Tilko."— Presentation transcript:

1 CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava  Felix Bourier, MD, Sonia Ammar, MD, Tilko Reents, MD, Gabriele Hessling, MD, Isabel Deisenhofer, MD, FHRS  HeartRhythm Case Reports  Volume 1, Issue 5, Pages (September 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 Figure 1 Right anterior oblique (RAO) and left anterior oblique (LAO) views of the segmented computed tomography data set in CARTO3. The left atrium is displayed in light blue, the right atrium in brown, the persistent left superior vena cava in yellow, the aorta in red, and the spine in blue. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: The image shows a left anterior oblique fluoroscopic view of the spine, a diagnostic catheter placed in the persistent left superior vena cava (PLSVC), and an angiogram of the PLSVC using the deflectable sheath. B: The segmented PLSVC is registered in this image. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

4 Figure 3 Right anterior oblique (RAO) and left anterior oblique (LAO) views of the overlaid 3-dimensional anatomy in CARTO3 Univu at the moment of transseptal puncture. The aorta and the spine served, respectively, as anterior and posterior landmarks for the puncture. A standard quadrupolar mapping catheter was placed in the persistent left superior vena cava. The transseptal needle, the dilatator, and the deflectable sheath were advanced into the left atrium. The aorta and the spine served, respectively, as anterior posterior landmarks for the puncture. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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