tag:blogger.com,1999:blog-18943510.post4998612214021095331..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Best Trick from the HRS MeetingDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-18943510.post-38677463575105918742008-05-19T19:30:00.000-05:002008-05-19T19:30:00.000-05:00Thank you for your blog. It is a great resource.A...Thank you for your blog. It is a great resource.<BR/><BR/>Anony 6:37 -Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-27920417144559243772008-05-18T21:34:00.000-05:002008-05-18T21:34:00.000-05:00Anony 6:37 - Thanks for the hattip to Dr. Tchou.An...Anony 6:37 - <BR/>Thanks for the hattip to Dr. Tchou.<BR/><BR/>Anony 6:51 -<BR/>We have no data - seems this is best reserved for difficult transseptals. I really don't know about healing of the transseptal puncture after RF vs needle puncture alone, but one thing is clear, re-do transseptals can be harder than the original, suggesting that the needle-puncture only technique generally heals wellDrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-14442286115525377582008-05-18T20:58:00.000-05:002008-05-18T20:58:00.000-05:00I agree, cool low budget trick. Also, a small ser...I agree, cool low budget trick. Also, a small series was published recently in Heart Rhythm Dec 2007 by Shivkumar at UCLA. Nice discussion as well about ? some potential concerns. They used 45 W "cutting" setting with Blend 1 feature on, successfully in 5 pts. I believe slightly different settings was used in the larger Clev Clinic series. Also this all contrasts to more expensive Baylis "Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-18050704412103524642008-05-18T18:51:00.000-05:002008-05-18T18:51:00.000-05:00is there any reason to think it would be preferabl...is there any reason to think it would be preferable to standard transseptal technique?<BR/>is there any reason to think the healing process would be different (maybe preferable)? we have encountered frequent difficulty in patients who have had multiple transseptals over the years.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-86675125560999769752008-05-18T18:37:00.000-05:002008-05-18T18:37:00.000-05:00Dr. Wes,I agree this is a great trick. It was pre...Dr. Wes,<BR/>I agree this is a great trick. It was presented at ACC 2007 by Dr. Patrick Tchou from The Cleveland Clinic in a video poster format. At at that point he had done over 200 transseptals punctures using this technique.Anonymousnoreply@blogger.com