How to Monitor Transseptal Puncture: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging.

IF 1.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Echography Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI:10.4103/jcecho.jcecho_17_26

Stefano Stella, Matteo Cameli, Maurizio Cusma'-Piccione, Antonio De Luca, Roberta Manganaro, Concetta Zito, Riccardo Colombi, Paola Cunsolo, Leone Giovanni Musci, Eustachio Agricola, Francesco Becherini, Giovanna di Giannuario, Ilaria Caso

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Abstract

Interest in the anatomy of the interatrial septum (IAS) and the implications for a proper transseptal puncture (TSP) has risen in the past two decades along with the simultaneous evolution of left-sided transcatheter structural heart interventions. A comprehensive understanding of the anatomy of the IAS in relation with the therapeutic target, is essential for performing a safe and effective transseptal puncture. Intra-procedural echocardiography, transoesophageal and/or intracardiac, is recommended in all patients undergoing TSP because it provides fundamental insights into the septum anatomy and, furthermore, allows for tailored puncture. This document aims to describe the essentials of echocardiographic guidance of transseptal puncture (TSP).

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如何监测经间隔穿刺：意大利超声心动图和心血管成像学会的共识声明。

在过去的二十年里，随着左侧经导管结构性心脏介入术的同时发展，对房间隔（IAS）的解剖和正确的经间隔穿刺（TSP）的影响的兴趣已经上升。全面了解与治疗目标相关的IAS解剖结构，对于进行安全有效的经间隔穿刺至关重要。术中超声心动图，经食管和/或心内超声心动图，推荐用于所有接受TSP的患者，因为它提供了对隔膜解剖的基本见解，并且允许量身定制穿刺。本文旨在描述超声心动图引导经间隔穿刺（TSP）的要点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiovascular Echography CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.40

自引率

12.50%

发文量