Accusafe guidewire for atrial septal puncture: dual-imaging safety and efficacy: a case report
A 74-year-old female with nonvalvular atrial fibrillation and heart failure, on rivaroxaban 20 mg/day, presented for left atrial appendage (LAA) closure due to recurrent hematomas despite anticoagulation therapy. This case report describes an innovative atrial septal puncture (ASP) technique utilizing the Accusafe guidewire (Synaptic Medical, Beijing, China) under combined fluoroscopic and intracardiac echocardiography (ICE) guidance. The procedure was successful, demonstrating that this method may enhance procedural safety and precision, particularly in complex cases such as LAA closure, atrial fibrillation ablation, and MitraClip procedures.
Authors
- Delai Zhang (ORCID: https://orcid.org/0000-0003-0825-8869)
- Jue Zhao (ORCID: https://orcid.org/0000-0002-1035-1790)
- Qian Nie
- Haseeb Sattar (ORCID: https://orcid.org/0000-0001-6149-1948)
- Hongcai Zhang
- Xie Wen
- Ailing Huang (ORCID: https://orcid.org/0009-0002-0037-2229)
Institutions
- Hubei Urban Construction Vocational and Technological College (CN)
- Chengdu University of Traditional Chinese Medicine (CN)
Publication Details
- Journal
- Frontiers in Cardiovascular Medicine
- Published
- 2026-02-09
- DOI
- https://doi.org/10.3389/fcvm.2026.1652997
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00