Transhepatic Solution†
Left Atrial Access from Any Approach.™
Perform transseptal access using an alternate approach with the SupraCross™ Steerable Sheath and SupraCross™ RF Wire.
When the conventional solution may not be optimal, use SupraCross™ RF Solution to gain alternate access into the left atrium via hepatic venous approach.
Alternate Access Solution includes: RF Wire and Steerable Sheath
3-in-1 SupraCross™ RF Wire
1. Puncture
Cross normal, fibrotic, and aneurysmal septa1,2,3,4 with a short, focused RF energy pulse.‡
2. Anchor
Instantly secure and maintain left atrial access with a flexible spiral tip1.
3. Exchange
Support sheath exchange with a sturdy 0.035" stainless steel rail2.
Precision Steerable Sheath
TruGlide™ Handling
Responsive, smooth, high-precision steering to confidently position your curve.
Flexible Dilator
A fully steerable sheath with flexible dilator to facilitate navigating complex anatomy and precise positioning on the fossa2.
ACCESS FROM ANY APPROACH
Successful transseptal access has been achieved by transhepatic approach5,6. Optimized transseptal approach may be required in:
- Mitral valve repair 7
- VT Ablation8
- Pulmonary vein isolation 5,9
- Left atrial appendage occlusion 6
which have been previously performed successfully via transhepatic approach.
Technical Specifications
SupraCross™ RF Wire
| Feature | Specifications |
|---|---|
| Wire length | 180 cm |
| Outer diameter | 0.035’’ |
| Radiopaque marker | Platinum tungsten coil; 3 cm |
| Distal coil diameter | 2.4 cm |
Compatible with 0.035” dilators
SupraCross™ Steerable Sheath
| Feature | Specifications |
|---|---|
| French size | 8.5F |
| Sheath usable length | 45 cm |
| Sheath overall length | 65 cm |
| Dilator usable length | 67 cm |
| Compatible guidewire | 0.035” |
| Distal curve | Unidirectional (180°) |
| Distal curve diameter | Large (50 mm) |
Compatible with 12.5F introducers
Ordering Information
for the SupraCross® RF Solution
| Product | Product Code |
|---|---|
| SupraCross™ RF Wire | SPW-35-180A |
| SupraCross™ Steerable Sheath | SSS85-35-UD-45L |
Resource Library
Browse content specific to this product, such as brochures, publications, white papers, IFUs, videos and other product information.
BROWSE LIBRARY
Clinical Support
If you require an in-service training session or a follow up visit from one of our representatives, please contact us.
CONTACT SUPPORT
- Radiofrequency-Assisted Transseptal Access for Atrial Fibrillation Ablation Via a Superior ApproachLiang J, et al. JACC: Clin Electrophysiol. doi: 10.1016/j.jacep.2019.10.019
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How to perform left atrial transseptal access and catheter ablation of atrial fibrillation from a superior approachSantangeli P, et al. J Cardiovasc Electrophysiol. doi.org/10.1111/jce.14294
- Accuracy and procedural characteristics of standard needle compared with radiofrequency needle transseptal puncture for structural heart intervention
Sharma G, et al. J Am Coll Cardiol. doi: 10.1002/ccd.26608. - Initial experience using a radiofrequency powered transseptal needle
Smelley MP, et al. J Cardiovasc Electrophysiol. doi: 10.1111/j.1540-8167.2009.01656. - Direct Hepatic Vein Puncture and Transseptal Access for Atrial Flutter and Fibrillation Ablation in a Patient with Prior Ligation of the Inferior Vena CavaSuryanarayana P, et al. Heart Rhythm Case Rep. doi: 10.1016/j.hrcr.2020.03.011
- Transhepatic Vascular Access for Implantation of a Watchman Left Atrial Appendage Closure DeviceMorcos R, et al. Reports. doi.org/10.3390/reports1020015
- Percutaneous Transhepatic Mitral Valve Repair With the MitraClip SystemBrito F, et al. JACC: Cardiovascular Interventions. doi: 10.1016/j.jcin.2018.02.013
- Percutaneous transhepatic access for catheter ablation of cardiac arrhythmiasNguyen D, et al. Europace. doi.org/10.1093/europace/eus315
- Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior vena cava Orme J, et al. Heart Rhythm Case Reports. doi.org/10.1016/j.hrcr.2018.01.012