Curious to see the programme?
Discover the typical agenda and scientific content for the Advanced Transseptal Puncture Course, consisting of a pre-course dinner and two days of hands-on training, perfect for practising your skills.
The programme comprises pre-course online learning, then onsite training based on clinical case reviews, step-by-step best practices and troubleshooting sessions, as well as training on high fidelity physical and computer simulators under the guidance of expert trainers.
Following the successful completion of a structured test, participants obtain the certification that they have the knowledge and skills required to safely and effectively perform transseptal puncture. Read on to find out more!
Topics covered
- Large bore venous access and closure
- Transseptal puncture material, techniques and management
- Left heart navigation
- Imaging for mitral interventions
Simulators used for training
- 3 Venous access and closure simulators
- 5 Physical dry transseptal puncture simulators
- 3 Digital echo-guided transseptal puncture heart simulators
Learning objectives:

Upgrade your TSP mandatory knowledge (material, Indications, standard operating procedure, complication management...)

Upgrade your TSP skills by sharing best practices with your peers, and benefit from “best in class” pre-clinical training (before you enter clinical practice)

Get validation and certification of your competence and skills (for active interventionalists who already perform procedures)

Summary of the cursus
- Anatomy of the right heart and venous system and its relationship to the left side of the heart
- Imaging for transseptal puncture and left heart navigation
- Anticoagulation management for left heart interventions
- Material for transseptal puncture
- Standard operating procedures and material for access and closure
- Standard operating procedures for echo-guided transseptal puncture
- Disease specific transseptal punctures
- Challenging transseptal situation and complication prevention
- Troubleshooting and complication management
- Access and closure of venous access
- Transseptal puncture for different therapies
- Left heart navigation
Onsite agenda

Day 1 – Tuesday, 15 September 2026
- 07:30 – 08:00 Welcome coffee and badge collection
- 08:00 – 08:15 Pre-test
- 08:15 – 08:30 Introductions (participants & facilitators)
- 08:30 – 08:45 Transeptal puncture – The summary
- 08:45 – 09:45 WetLab: Heart dissection, needle demonstration, NRG activity
- 09:45 – 10:15 Indications & contraindications for TS puncture, medical work-up
- 10:15 – 10:30 Coffee break
- 11:00 – 12:00 Venous access & closure, materials for TS puncture & LA navigation
- 12:00 – 13:00 Lunch
- 13:00 – 13:30 Simulation-based learning: types & use of simulators
- 13:30 – 15:30 Hands-on practice (rotating stations):
- Station A: Virtual simulator – TS puncture (Mentice)
- Station B: Realistic simulator – TS puncture (Simulatics)
- Station C: LA navigation (Proglide, Agilis, ICE simulator, etc.)
- 15:30 – 16:00 Coffee break
- 16:00 – 17:00 Hands-on practice (continuation)

Day 2 – Wednesday, 16 September 2026
- 08:00 – 09:00 Step-by-step guided TS puncture (fluoroscopy, TEE, ICE), disease-specific approaches
- 09:00 – 09:40 Haemodynamic Lab: TS puncture, Proglide visualisation
- 09:40 – 10:30 Case examples of TS-related procedures (Mitraclip, Pascal, Cardioband, LAAO, etc.)
- 10:30 – 11:00 Coffee break
- 11:00 – 11:30 Complex anatomies & challenging situations
- 11:30 – 12:30 Complications management & troubleshooting
- 12:30 – 13:00 Lunch
- 13:00 – 13:30 Certification test
- 13:30 – 15:30 Simulation test (Stations A & B)
- 15:30 – 16:00 Coffee break
- 16:00 – 17:00 Simulation test (continuation)
- 17:00 – 17:30 Certification ceremony & course closure