{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:25Z","timestamp":1740179425214,"version":"3.37.3"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Atrial flow regulator (AFR) (Occlutech, Helsingborg, Sweden) are self-expanding, circular devices. A flexible waist in the centre connects the two discs and has a centrally located shunt.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of an 80-year-old woman undergoing a repeat left atrial ablation for persistent atrial fibrillation with an implanted AFR. The AFR was implanted 1 year prior to the procedure for heart failure with preserved ejection fraction as part of the AFR-PRELIEVE trial. A single, fluoroscopy-guided, transseptal puncture was performed infero-posterior to the device, allowing the positioning of the mapping (LASSO\u00ae 20\u2009mm, Biosense Webster, Irvine, CA, USA) and ablation (Thermocool Smarttouch SF, CARTO\u00ae, Biosense Webster, Irvine, CA, USA) catheter in the left atrium. Three-dimensional mapping (CARTO\u00ae, Biosense Webster, Irvine, CA, USA) and left atrial ablation were successfully performed. After the procedure, fluoroscopy and transthoracic echocardiography showed an unchanged device position.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>To our knowledge, this is the first case report of a transseptal puncture in a patient with an implanted AFR. Transseptal puncture in patients with an implanted AFR seems to be safe and feasible. With device diameters of 21\u201323 mm and based on previous studies on similar devices, transseptal puncture should be possible in most patients, as opposed to puncture through the device.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa242","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T09:37:18Z","timestamp":1598348238000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Transseptal puncture for ablation of atrial fibrillation in a patient with an implanted atrial flow regulator: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7054-3535","authenticated-orcid":false,"given":"Cornelia","family":"Biller","sequence":"first","affiliation":[{"name":"Department of Electrophysiology, University Heart Center Cologne, Kerpener Str. 62, 50937 Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2994-2849","authenticated-orcid":false,"given":"Karlo","family":"Filipovic","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, University Heart Center Cologne, Kerpener Str. 62, 50937 Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-2200","authenticated-orcid":false,"given":"Jakob","family":"L\u00fcker","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, University Heart Center Cologne, Kerpener Str. 62, 50937 Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-5895","authenticated-orcid":false,"given":"Daniel","family":"Steven","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, University Heart Center Cologne, Kerpener Str. 62, 50937 Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"2020110901530883800_ytaa242-B1","doi-asserted-by":"crossref","first-page":"403","DOI":"10.4244\/EIJ-D-19-00342","article-title":"The AFR-PRELIEVE trial: a prospective, non-randomised, pilot study to assess the Atrial Flow Regulator (AFR) in heart failure patients with either preserved or reduced ejection fraction","volume":"15","author":"Paitazoglou","year":"2019","journal-title":"EuroIntervention"},{"key":"2020110901530883800_ytaa242-B2","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1016\/j.jcin.2017.04.038","article-title":"Transseptal puncture through Amplatzer atrial septal occluder for left atrial appendage closure","volume":"10","author":"Gloekler","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2020110901530883800_ytaa242-B3","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.hrthm.2013.11.011","article-title":"Safety and feasibility of transseptal puncture for atrial fibrillation ablation in patients with atrial septal defect closure devices","volume":"11","author":"Li","year":"2014","journal-title":"Heart Rhythm"},{"key":"2020110901530883800_ytaa242-B4","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1093\/europace\/eux282","article-title":"Transseptal puncture and catheter ablation of atrial fibrillation in patients with atrial septal occluder: initial experience of a single centre","volume":"20","author":"Sang","year":"2018","journal-title":"Europace"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/5\/1\/34168137\/ytaa242.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/5\/1\/34168137\/ytaa242.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T06:53:29Z","timestamp":1604904809000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/5\/1\/5896832"}},"subtitle":[],"editor":[{"given":"Matteo","family":"Cameli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mark Philip","family":"Cassar","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Cankovic","family":"Milenko Zoran","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Calik","family":"Ali Nazmi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Peregrine","family":"Green","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,8,25]]},"references-count":4,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,8,25]]},"published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa242","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,8,25]]}}}