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• W2082458051 abstract "Radiofrequency catheter ablation of accessory pathways related to the Wolff-Parkinson-White (WPW) syndrome has become the treatment of choice for symptomatic patients. The retrograde and the transseptal approaches are comparable and standard for addressing left-sided pathways. 1 Lesh M.D. Van Hare G.F. Scheinman M.M. Ports T.A. Epstein L.A. Comparison of the retrograde and transseptal methods for ablation of left freewall accessory pathways. J Am Coll Cardiol. 1993; 22: 542-549 Abstract Full Text PDF PubMed Scopus (140) Google Scholar , 2 Deshpande S.S. Bremner S. Sra J.S. Dhala A.A. Blanck Z. Bajwa T.K. al-Bitar I. Gal R. Sarnoski J.S. Akhtar M. Ablation of left free-wall accessory pathways using radiofrequency energy at the atrial insertion site transseptal versus transaortic approach. J Cardiovasc Electrophysiol. 1994; 5: 219-231 Crossref PubMed Scopus (43) Google Scholar Cardiac tamponade due to perforation of the left atrial free wall is among the complications of the transseptal approach, with 3 Hahn K. Gal R. Sarnoski J. Kubota J. Schmidt D.H. Bajwa T.K. Transesophageal echocardiographically guided atrial transseptal catheterization in patients with normal-sized atria incidence of complications. Clin Cardiol. 1995; 18: 217-220 Crossref PubMed Scopus (53) Google Scholar or without 4 Roelke M. Smith A.J. Palacios I.F. The technique and safety of transseptal left heart catheterization the Massachusetts General Hospital experience with 1,279 procedures. Cathet Cardiovasc Diagn. 1994; 32: 332-339 Crossref PubMed Scopus (121) Google Scholar , 5 Swartz J.F. Tracy C.M. Fletcher R.D. Radiofrequency endocardial catheter ablation of accessory atrioventricular pathway atrial insertion sites. Circulation. 1993; 87: 487-499 Crossref PubMed Scopus (143) Google Scholar , 6 Clugston R, Lau FY, Ruiz C. Transseptal catheterization update 1992. Cathet Cardiovasc Diagn 1992;26:266–274. Google Scholar echocardiographic guidance. This complication requires immediate drainage by needle aspiration 7 Tsang T.S. Freeman W.K. Barnes M.E. Reeder G.S. Packer D.L. Seward J.B. Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. The Mayo Clinic experience. J Am Coll Cardiol. 1998; 32: 1345-1350 Abstract Full Text Full Text PDF PubMed Scopus (114) Google Scholar , 8 Ball J.B. Morrison W.L. Cardiac tamponade. Postgrad Med J. 1997; 73: 141-145 Crossref PubMed Scopus (28) Google Scholar , 9 Chong H.H. Plotnick G.D. Pericardial effusion and tamponade evaluation, imaging modalities, and management. Compr Ther. 1995; 21: 378-385 PubMed Google Scholar , 10 Friedrich S.P. Berman A.D. Baim D.S. Diver D.J. Myocardial perforation in the cardiac catheterization laboratory incidence, presentation, diagnosis, and management. Cathet Cardiovasc Diagn. 1994; 32: 99-107 Crossref PubMed Scopus (45) Google Scholar or surgery. 11 Susini G. Pepi M. Sisillo E. Bortone F. Sallvi L. Barbier P. Fiorentin C. Percutaneous pericardiocentesis versus subxiphoid pericardiotomy in cardiac tamponade due to postoperative pericardial effusion. J Cardiothorac Vasc Anesth. 1993; 7: 178-183 Abstract Full Text PDF PubMed Scopus (50) Google Scholar , 12 Nocero Jr, M.A. Transseptal Technique A Workbook. Futura, Mount Kisco, NY1989: 13-23 Google Scholar These are often used with placement of an intrapericardial sheath or catheter for continuing drainage. 8 Ball J.B. Morrison W.L. Cardiac tamponade. Postgrad Med J. 1997; 73: 141-145 Crossref PubMed Scopus (28) Google Scholar , 11 Susini G. Pepi M. Sisillo E. Bortone F. Sallvi L. Barbier P. Fiorentin C. Percutaneous pericardiocentesis versus subxiphoid pericardiotomy in cardiac tamponade due to postoperative pericardial effusion. J Cardiothorac Vasc Anesth. 1993; 7: 178-183 Abstract Full Text PDF PubMed Scopus (50) Google Scholar These interventions are effective, but psychologically unpalatable to patient and physician alike. This article reports an alternative internal drainage method that is psychologically atraumatic to the patient, and has been followed by successful ablation within the next 24 hours with an overall satisfactory outcome." @default.
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• W2082458051 title "Internal transcardiac pericardiocentesis for acute tamponade" @default.
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