Imaging the Atrial Septum Using Real-Time Three-Dimensional Transesophageal Echocardiography: Technical Tips, Normal Anatomy, and Its Role in Transseptal Puncture

2011 ◽  
Vol 24 (6) ◽  
pp. 593-599 ◽  
Author(s):  
Francesco F. Faletra ◽  
Gaetano Nucifora ◽  
Siew Yen Ho
2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Hani M. Mahmoud ◽  
Mohammed A. Al-Ghamdi ◽  
Abdullah E. Ghabashi ◽  
Ashraf M. Anwar

Aim of Study. To assess the feasibility of a new proposed maneuver “RATLe-90” using real-time three-dimensional transesophageal echocardiography (RT-3DTEE) for anatomically oriented visualization of the interatrial septum (IAS) in guiding the transseptal puncture TSP.Methods. The study included 20 patients (mean age,60.2±6.7years; 60% males) who underwent TSP for different indications. RT-3DTEE was used to guide TSP. The proposed maneuver RATLe-90 (Rotate-Anticlockwise-Tilt-Left-90) was applied in all cases to have the anatomically oriented en face view of the IAS from the right atrial (RA) aspect. Having this anatomically oriented view, we guided the TSP catheter towards the proper puncture site according to the planned procedure. Results. Using the RATLe-90 maneuver, the anatomically oriented en face view of the IAS from the RA was obtained in all patients. We were able to guide the puncture catheter to the proper puncture site on the IAS. The 3D images obtained were clearly understood by both echocardiographers and interventionists. The RATLe-90 maneuver acquisition time was19.9±1.6seconds. The time-to-tent was64.8±16.3seconds. Less TEE probe manipulations were needed while guiding the TSP.Conclusions. Application of RT3D-TEE during TSP using RATLe-90 maneuver is feasible with shorter fluoroscopy time and minimizing TEE probe manipulations.


2018 ◽  
Vol 71 (3) ◽  
pp. 230-236
Author(s):  
Tomoko Nishi ◽  
Kentaro Shibayama ◽  
Minoru Tabata ◽  
Nahoko Kato ◽  
Masahiko Noguchi ◽  
...  

2009 ◽  
Vol 108 (1) ◽  
pp. 70-72 ◽  
Author(s):  
K Annette Mizuguchi ◽  
Thomas M. Burch ◽  
Bernard E. Bulwer ◽  
Amanda A. Fox ◽  
Robert J. Rizzo ◽  
...  

2008 ◽  
Vol 25 (10) ◽  
pp. 1131-1137 ◽  
Author(s):  
Jayaprakash Manda ◽  
Saritha Kumari Kesanolla ◽  
Ming Chon Hsuing ◽  
Navin C. Nanda ◽  
Elsayed Abo-Salem ◽  
...  

2012 ◽  
Vol 29 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Selvin Sudhakar ◽  
Prakash Khairnar ◽  
Navin C. Nanda

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