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Brockenbrough needle markedly deformed by vein tortuosity ... | 合法醫療器材資訊網

Brockenbrough needle markedly deformed by vein tortuosity ...

由GMitacchione著作·2016—Duringaprocedureforpulmonaryveinablationinamalepatient,resistancetoBrockenbroughneedleadvancementintodilatorwasfelt.

 Brockenbrough needle markedly deformed by vein tortuosity ...

During a procedure for pulmonary vein ablation in a male patient, resistance to Brockenbrough needle advancement into dilator was felt. Needle advancement was carefully monitored by fluoroscopy (Panel A) and transseptal catheterization was successfully accomplished. However, when removed, needle showed multiple curvatures on different planes (Panel B) as consequence of the iliac vein/inferior vena cava tortuosity.

Marked needle deformation should not be underestimated for potentially lethal complications during needle advancement and fossa ovalis localization. Additional imaging and contralateral vein approach should also be considered. The risk–benefit ratio should be evaluated to abort the procedure in case further difficulties are encountered.

Conflict of interest: R.D.P. is a consultant and in the speakers bureau of Biosense Webster.

Published on behalf of the European Society of Cardiolo...

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Cardiac Ablation Products for Non | 合法醫療器材資訊網
Brockenbrough Curved Needles ... Brockenbrough™ curved needles are stainless steel and used to make the transseptal puncture. They are sterile, single​-use ... Read More
Introducer Sheaths | 合法醫療器材資訊網
Mullins Transseptal Introducer Sheaths, left atrial access, Brockenbrough Curved Needles, make transseptal puncture, left atrial access, SVT and AVNRT ... Read More
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Transseptal Puncture: A Step | 合法醫療器材資訊網
The Brockenbrough needle is made of stainless steel and has a stylet inside the lumen to prevent friction while advancing it into the sheath. The standard BRK ... Read More
How to perform transeptal puncture | 合法醫療器材資訊網
由 N Naik 著作 · 2015 · 被引用 11 次 — The Brockenbrough needle is then advanced into the Mullins sheath about 2–3 cms short of the tip (Fig. 2; Video 1). It is useful to keep a finger between the base​ ... Read More
Randomized Trial of Conventional Transseptal Needle Versus ... | 合法醫療器材資訊網
由 JC Hsu 著作 · 2013 · 被引用 44 次 — Transseptal puncture is a critical step in achieving left atrial (LA) access for a variety of cardiac procedures. Although the mechanical Brockenbrough needle has ... Read More
The Brockenbrough Transseptal Catheterization | 合法醫療器材資訊網
由 JO PARKER 著作 · 1964 · 被引用 8 次 — the lix er. Figure 3. Nighit antterioi oblique ciewE of chest showing needle ti) in the interatrial .spt*tIit. Read More
Brockenbrough needle markedly deformed by vein tortuosity ... | 合法醫療器材資訊網
由 G Mitacchione 著作 · 2016 — During a procedure for pulmonary vein ablation in a male patient, resistance to Brockenbrough needle advancement into dilator was felt. Read More
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