TY - JOUR JO - EuroIntervention TI - Transseptal puncture: procedural guidance, challenging situations and management of complications AB - <p>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.</p> AU - Russo Giulio AU - Taramasso Maurizio AU - Maisano Francesco VL - 17 IS - 9 Y1 - 20/10/2021 Y1 - 2021 DOI - 10.4244/EIJ-D-20-00454 SP - 720 EP - 727 KW - imaging modalities KW - mitral valve disease KW - transseptal PB - Europa Digital & Publishing SE - Interventions for valvular disease and heart failure UR - https://eurointervention.pcronline.com/article/transseptal-puncture-procedural-guidance-challenging-situations-and-complications-management SN - 1774-024X ER -