The NRG Transseptal Needle delivers a short and highly focused radiofrequency energy pulse, enabling a precise and controlled transseptal puncture.


Clinical highlights

April 2020, study led by Dr. Salam, published in Journal of Innovations in Cardiac Rhythm Management

Safety and effectiveness of a novel fluoroless transseptal puncture technique for lead-free catheter ablation: A case series

This large series of 382 consecutive cases demonstrated the safety and effectiveness of fluoroless TSP and RF ablation using 3D electroanatomic mapping (EAM).

Faster fluoroless transseptal time

Double or single TSP was achieved 100% successfully and without fluoroscopy within 28±15 min.

Reduced procedure time

Total procedure time was 135±34 min without significant complications


Publication summaries

July 2020, Sanchez et al., published in Journal of Cardiovascular Electrophysiology

A cost-effectiveness analysis comparing a conventional mechanical needle to a radiofrequency device for transseptal punctures

This analysis compared the cost-effectiveness of a mechanical needle to an RF device during pulmonary vein isolation (PVI) procedures in three clinical scenarios.


April 2020, Salam et al., published in Journal of Innovations in Cardiac Rhythm Management

Safety and effectiveness of a novel fluoroless transseptal puncture technique for lead-free catheter ablation: A case series

This large series of 382 consecutive cases demonstrated the safety and effectiveness of fluoroless TSP and RF ablation using 3D EAM.


April 2018, Tokuda et al., published in Heart and Vessels

Radiofrequency needle for transseptal puncture is associated with lower incidence of thromboembolism during catheter ablation of atrial fibrillation: propensity score‐matched analysis

This retrospective, propensity score-matched analysis of 232 patients who underwent a catheter ablation procedure for atrial fibrillation compared transseptal punctures performed with a RF transseptal needle to those with a mechanical transseptal needle.


March 2017, Razminia et al., published in Pacing and Clinical Electrophysiology

Fluoroless catheter ablation of cardiac arrhythmias: A 5-year experience

This five-year retrospective analysis examined 500 consecutive patients who underwent fluoroless cardiac catheter ablation from December 2010 to March 2016.


September 2013, Hsu et al., published in Journal of the American Heart Association

Randomized trial of conventional transseptal needle versus radiofrequency energy needle puncture for left atrial access (the TRAVERSE-LA study)

Randomized, prospective, and controlled trial. The study included 72 patients randomized to either the NRG Transseptal Needle or a conventional transseptal needle on a 1:1 basis.


March 2013, Winkle et al., published in Journal of Interventional Cardiac Electrophysiology

Physician-controlled costs: The choice of equipment used for atrial fibrillation ablation

This study evaluated the cost-per-procedure used to perform an atrial fibrillation ablation.


September 2011, Winkle et al., published in Heart Rhythm

The use of a radiofrequency needle improves the safety and efficacy of transseptal puncture for atrial fibrillation ablation

This large case series compared the safety and efficacy of TSP using the purpose-built RF NRG Transseptal Needle to a sharp mechanical needle for atrial septal puncture.


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