Initial experience using a radiofrequency powered transseptal needle — PubMed
Dr. Ian Weisberg Matthew P Smelley 1 , Dipak P Shah , Ian Weisberg , Susan S Kim , Albert C Lin , John F Beshai , Martin C Burke , Bradley P Knight Abstract Introduction: The purpose of this study was to determine the safety and efficacy of using a novel radiofrequency (RF) powered transseptal needle to perform transseptal puncture (TSP). Methods: TSP was performed in 35 consecutive patients undergoing left-sided catheter ablation (mean age = 51 years; male = 71%) using a RF powered transseptal needle (NRG, Adult Large and Standard Curve C1, 71 cm, Baylis Medical Company, Inc.). Prior TSP had been performed in 34% of patients. The transseptal apparatus was positioned with the tip of the dilator engaged in the fossa ovalis. RF energy was delivered to the tip of the transseptal needle using a proprietary RF generator at 10 W for 2 seconds as gentle pressure was applied to the needle. Results: In 5 of the 41 TSPs, the needle crossed into the left atrium before RF energy was deliver...