Arrhythmias & electrophysiology
Optimizing transseptal puncture guided by three-dimensional mapping: the role of a unipolar electrogram in a needle tip
Authors' conclusion
In most patients, fluoroless 3D-TSP was successfully achieved using changes in the COI on the UEGM tip.
Study context
- Population
- Patients undergoing 3D electroanatomic mapping-guided transseptal puncture
- Comparison
- Derivation vs Validation
- Derivationn = 102
- Outcome
- FO identification by COI changes on UEGM tip; successful 3D-TSP via workflow
Performance
As reported in the abstract
Current of injury (COI) changes identified the foramen ovalis (FO) (derivation cohort, vs 3 minor criteria)
99%
101/102
Successful 3D-TSP through the workflow (validation cohort)
99.9%
1042/1043
Original publication
Optimizing transseptal puncture guided by three-dimensional mapping: the role of a unipolar electrogram in a needle tip. Europace. Published 15 April 2024. doi:10. 1093/ europace/ euae098
Summarised from the published abstract; every number is checked against it