Atrial Flutter Ablation Using a Three-Dimensional Electroanatomical Mapping System

Authors

  • Christos-Konstantinos Antoniou Electrophysiology Laboratory First Department of Cardiology National and Kapodistrian University of Athens
  • Polychronis Dilaveris Electrophysiology Laboratory First Department of Cardiology National and Kapodistrian University of Athens
  • Ioannis Skiadas State Department of Cardiology, Hippokration General Hospital, Athens, Greece
  • Konstantinos Gatzoulis Electrophysiology Laboratory First Department of Cardiology National and Kapodistrian University of Athens

Keywords:

atrial flutter, catheter ablation, cavotricuspid isthmus, electroanatomical mapping

Abstract

Typical atrial flutter ablation is usually performed conventionally, by creating a line across the cavotricuspid isthmus under fluoroscopic guidance. In this article, we present the case of a middle-aged male who was submitted to flutter ablation through use of a three-dimensional electroanatomical mapping system, yielding highly accurate and pedantic images. 

References

Granada J, Uribe W, Chyou PH et al. Incidence and predictors of atrial flutter in the general population. Journal of the American College of Cardiology 2000;36:2242-6.

Kirchhof P, Benussi S, Kotecha D et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESCEndorsed by the European Stroke Organisation (ESO). European heart journal 2016.

Clementy N, Desprets L, Pierre B et al. Outcomes after ablation for typical atrial flutter (from the Loire Valley Atrial Fibrillation Project). The American journal of cardiology 2014;114:1361-7.

Dewland TA, Glidden DV, Marcus GM. Healthcare utilization and clinical outcomes after catheter ablation of atrial flutter. PloS one 2014;9:e100509.

Patel NJ, Deshmukh A, Pau D et al. Contemporary utilization and safety outcomes of catheter ablation of atrial flutter in the United States: Analysis of 89,638 procedures. Heart rhythm : the official journal of the Heart Rhythm Society 2016;13:1317-25.

Chen J, de Chillou C, Basiouny T et al. Cavotricuspid isthmus mapping to assess bidirectional block during common atrial flutter radiofrequency ablation. Circulation 1999;100:2507-13.

Spector P, Reynolds MR, Calkins H et al. Meta-analysis of ablation of atrial flutter and supraventricular tachycardia. The American journal of cardiology 2009;104:671-7.

Hsieh MH, Tai CT, Chiang CE et al. Recurrent atrial flutter and atrial fibrillation after catheter ablation of the cavotricuspid isthmus: a very long-term follow-up of 333 patients. Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing 2002;7:225-31.

Tai CT, Chen SA, Chiang CE et al. Long-term outcome of radiofrequency catheter ablation for typical atrial flutter: risk prediction of recurrent arrhythmias. Journal of cardiovascular electrophysiology 1998;9:115-21.

Coffey JO, d'Avila A, Dukkipati S et al. Catheter ablation of scar-related atypical atrial flutter. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 2013;15:414-9.

De Ponti R, Verlato R, Bertaglia E et al. Treatment of macro-re-entrant atrial tachycardia based on electroanatomic mapping: identification and ablation of the mid-diastolic isthmus. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 2007;9:449-57.

O'Donnell D, Bourke JP, Furniss SS. Interatrial transseptal electrical conduction: comparison of patients with atrial fibrillation and normal controls. Journal of cardiovascular electrophysiology 2002;13:1111-7.

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Published

2017-01-10

Issue

Vol. 12 No. 1 (2017)

Section

Case Report

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