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A Novel Deep Inspiration Maneuver for Difficult Transseptal Puncture
Aksu, Tolga; Güler, Tümer Erdem; Yalın, Kıvanç; Gölcük, Şükriye Ebru; Özcan, Kazım Serhan; Güler, Niyazi (Excerpta Medica Inc-Elsevier Science Inc, 2017)Transseptal puncture (TSP) may not be possible in cases of an elastic, aneurysmal, or thickened interatrial septum (IAS). During deep inspiration (DI), the chest wall expands and the diaphragm descends. This makes intrapleural ...