Transseptal puncture

Our Related videos

Remote Smarthealth(RSH) is excited to hopefully welcome you as one of our valued customers, and lookforward to doing business with you. RSH is an accredited distributor that conveniently delivers Remote Patient Monitoring supplies directly to your patients home or a location of your choice. Once the forms are filled out we will schedule a training and provide you access to our platform for you and your team.

Transseptal puncture is a medical procedure used to gain access to the left side of the heart by puncturing the interatrial septum, the wall that separates the two upper chambers (atria) of the heart. This procedure is often performed during certain types of cardiac catheterization procedures, such as atrial fibrillation ablation, left atrial appendage closure, or mitral valve repair.

The procedure begins with the patient under local anesthesia and sedation. The patient’s heart rhythm and blood pressure are monitored throughout the procedure. 

A catheter (thin, flexible tube) is inserted into a vein, often in the groin, and guided through the vein and into the right atrium of the heart. Using real-time imaging, usually fluoroscopy or intracardiac echocardiography, the physician carefully guides a needle through the catheter and punctures the septum to reach the left atrium. 

Once the left atrium is accessed, the physician can then proceed with the necessary interventions or diagnostic procedures. After the completion of these procedures, the catheter and needle are carefully withdrawn.

Transseptal puncture requires skilled operators due to the potential for complications, such as cardiac tamponade (pressure on the heart caused by fluid accumulation), although these complications are rare with experienced practitioners. Post-procedure, patients are monitored for several hours to ensure no complications arise.

The procedure has been instrumental in advancing the field of interventional cardiology and electrophysiology, enabling physicians to perform procedures that were previously not possible.