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Thrombosis Occurring During Trans-Septal Puncture with Electrocautery: A Case Report
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Introduction: Electrocautery-based trans-septal puncture (TSP) offers
clinical advantages; however, we report a case of intra-procedural
thrombosis, which raises important concerns regarding the safety and
risk profile associated with electrocautery. Methods and Results: During
radiofrequency ablation for atrial fibrillation, electrocautery TSP was
performed on a patient with a thick interatrial septum. Left atrial
access was achieved on the fourth attempt using electrocautery, and a
new hyperechoic cord was observed in the right atrium, indicating acute
thrombosis. The thrombus was resolved through heparin anticoagulation
and blood withdrawal, allowing the procedure to resume. Conclusion: This
case highlights the risks associated with electrocautery TSP and calls
for further exploration of clinical solutions to address such
challenges.
Title: Thrombosis Occurring During Trans-Septal Puncture with Electrocautery: A Case Report
Description:
Introduction: Electrocautery-based trans-septal puncture (TSP) offers
clinical advantages; however, we report a case of intra-procedural
thrombosis, which raises important concerns regarding the safety and
risk profile associated with electrocautery.
Methods and Results: During
radiofrequency ablation for atrial fibrillation, electrocautery TSP was
performed on a patient with a thick interatrial septum.
Left atrial
access was achieved on the fourth attempt using electrocautery, and a
new hyperechoic cord was observed in the right atrium, indicating acute
thrombosis.
The thrombus was resolved through heparin anticoagulation
and blood withdrawal, allowing the procedure to resume.
Conclusion: This
case highlights the risks associated with electrocautery TSP and calls
for further exploration of clinical solutions to address such
challenges.
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