Research summary, original research, 2017

Mediguide-Assisted Transseptal Puncture without Echocardiographic Guidance

Ballesteros G, Ramos Ardanaz P, Neglia R, Palacio Solís M, Díaz Fernández C, López González G, et al.. Pacing and clinical electrophysiology : PACE. 2017

Read the original paper

In plain language

In 31 patients having atrial fibrillation ablation, MediGuide-guided transseptal puncture cut fluoroscopy time by about 80% compared with matched conventional cases. This may reduce exposure for the electrophysiology team, but staff dose was not measured.

At a glance

Type of study
Original research, Prospective cohort study
Who was studied
Patients
Size
n = 62 patients
Summary based on
the abstract

What it found

  • Fluoroscopy time to double transseptal access was much shorter with MediGuide-assisted puncture than with conventional fluoroscopy-guided puncture.

    Key figures: 26.65 ± 37.97 s vs 129.13 ± 37.77 s (P < 0.001)

  • Nearly all MediGuide-assisted transseptal attempts succeeded without switching to the conventional technique.

    Key figures: 60 of 62 attempts (96.7%)

  • No major complications occurred in any procedure.

Limits to keep in mind

Small non-randomized study (31 MediGuide patients and 31 matched controls) at a single setting. Fluoroscopy time was the only radiation measure; staff dose was not measured.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.