Пункция межпредсердной перегородки

A strong interest in interventional treatment of atrial fibrillation requires from electrophysiologists and interventionalists to be able to perform atrial septal puncture. In percutaneous method the access to the left atrial is difficult due to the anatomical location of the left atrium. Atrial septal puncture gives direct access to the left atrium and pulmonary veins. In experienced hands, atrial septal puncture is a relatively safe procedure. Possible complications occur in approximately 1% of the total number of procedures. Thus, training of electrophysiologists should take place at the centers in which a large number of procedures are performed. In institutions where there is a limited number of operations the regular use of transesophageal or intracardiac echocardiography allows to minimize various types of complications. This article presents practical aspects ofthe step by step implementation of an atrial septal puncture.