Anatomic Approach to Transseptal Puncture for Structural Heart Interventions

Trevor Simard, Abdallah El Sabbagh, Colleen Lane, Ammar M. Killu, Mohamad Alkhouli, Peter M. Pollak, Jeremy J. Thaden, Mackram F. Eleid, Paul A. Friedman, Charanjit S. Rihal

Research output: Contribution to journalReview articlepeer-review


The use of transseptal puncture continues to rise given the increase in left atrial cardiac interventions. The authors review an anatomic approach to transseptal puncture incorporating multimodality imaging both pre- and intraprocedurally with stepwise escalation algorithms to ensure safe and efficacious large-bore transseptal puncture.

Original languageEnglish (US)
Pages (from-to)1509-1522
Number of pages14
JournalJACC: Cardiovascular Interventions
Issue number14
StatePublished - Jul 26 2021


  • anatomic approach
  • left atrial intervention
  • structural heart disease
  • transseptal puncture

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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