The application of transseptal puncture in interventional therapy of cardiovascular diseases

VernacularTitle:房间隔穿刺术在心血管病介入治疗中的应用进展
Author: Keyu CHEN ¹ ; Yongwen QIN ; Yuan BAI
Author Information

1. 200433 上海海军军医大学第一附属医院;南部战区空军医院
Keywords: transseptal puncture; catheter ablation of atrial fibrillation; left atrial appendage occlusion; interventional treatment of mitral valve
From: Journal of Interventional Radiology 2025;34(3):329-334
CountryChina
Language:Chinese
Abstract: The application of transseptal puncture(TSP)technology in measuring left atrial pressure began in the late 1950s.With continuous development of cardiac interventional technology,TSP has become a routine procedure for mitral valve intervention,atrial fibrillation catheter ablation,and left atrial appendage closure(LAAC),and it also provides an unconventional pathway for transcatheter aortic valve replacement(TAVR),radiofrequency ablation of premature ventricular contraction,and ventricular septal defect occlusion.The popularity of transesophageal echocardiography(TEE)technology and the application of intracardiac echocardiography(ICE)have improved the accuracy of TSP location.Besides,the emergence of various novel transseptal puncture needles makes the operation of TSP easier and reduces the incidence of TSP complications.Combined with the related research on TSP technology at home and abroad,this paper aims to make a detailed review about the historic evolution and the latest research progress of TSP technology.