Arrhythmias & electrophysiologyGuideline or statement
Transseptal puncture in cardiovascular interventions: a clinical consensus statement of the European Heart Rhythm Association, the Heart Failure Association, the European Association of Percutaneous Cardiovascular Interventions, the European Association of Cardiovascular Imaging of the ESC, and the Association for European Paediatric and Congenital Cardiology
- Clinical consensus statement
Recommendations
As issued by the authors
A thorough understanding of transseptal puncture (TSP)'s clinical use and interatrial septal anatomy, including the fossa ovalis and its variants, is critical for a successful and safe procedure.
Understanding potential complications (cardiac tamponade, aortic puncture, embolism) is essential for prevention, early recognition and effective management.
Understanding how to approach specific complex scenarios is crucial for procedural success.
Original publication
Transseptal puncture in cardiovascular interventions: a clinical consensus statement of the European Heart Rhythm Association, the Heart Failure Association, the European Association of Percutaneous Cardiovascular Interventions, the European Association of Cardiovascular Imaging of the ESC, and the Association for European Paediatric and Congenital Cardiology. Europace. Published 29 May 2026. doi:10.1093/europace/euag021
Summarised from the published abstract; every number is checked against it