Transseptal Catheterization and Interventions

Transseptal Catheterization and InterventionsBy

  • Ranjan Thakur, MD, MPH, MBA, FHRS; Professor of Medicine and Director, Electrophysiology Fellowship, Thoracic and Cardiovascular Institute, Sparrow Health System, Michigan State University, Lansing, Michigan
  • Andrea Natale, MD, FACC, FHRS Executive Medical Director, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas; Consulting Professor, Division of Cardiology, Stanford University, Stanford, California; Clinical Associate Professor of Medicine, Case Western Reserve University, Cleveland, Ohio; Senior Clinical Director, EP Services, California Pacific Medical Center, San Francisco, California; and Director of Interventional EP, Scripps Green, San Diego, California

Transseptal left heart catheterization is here to stay. It already plays an important role in the repertoire of both interventional cardiologists and clinical electrophysiologists, and it will play an increasingly important role in the future.

This multiauthored reference on transseptal catheterization and interventions includes contributions from national and international thought leaders in cardiac electrophysiology and interventions.

Purpose
This book includes an up-to-date review of embryology and anatomy of the interatrial septum, various methods, illustrations of difficult cases, complications, and new technologies for safety and efficacy of transseptal catheterization and interventions.

Audience
The intended audience includes both adult and pediatric interventional cardiologists and electrophysiologists in training or in practice who perform transseptal catheterization.

Features
The first few chapters focus on embryology and anatomy of the interatrial septum, radiographic anatomy of the atria, indications, contraindications, and equipment for transseptal catheterization. Subsequent chapters provide detailed discussions about various methods, illustrations of challenging cases, complications, and new technologies. The last few chapters cover transseptal techniques in pediatric cardiology, emerging applications in interventional cardiology, and left atrial appendage closure. Numerous figures and illustrations of fluoroscopic images and echocardiograms are easy to understand and concepts are nicely detailed. Flow charts for the important steps and precautions for transseptal interventions as well as schematic representation of these procedures are very easy to follow. The comparative images of fluoroscopy, cardiac CT, and different modalities of echocardiograms help clarify the concepts of atrial anatomy pertinent to transseptal catheterization and the steps in interventions. Tabulated forms of trouble-shooting problems, causes, and solutions are very helpful without going through the text.

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