A jump in cycle length of orthodromic common atrial flutter during catheter ablation at the isthmus between the inferior vena cava and tricuspid annulus. Evidence of dual isthmus conduction directed to dual septal exits

Europace

Volumn 2, Issue 2, 2000, Pages 163-171

  Iesaka, Y ^a   Yamane, T ^a   Goya, M ^a   Takahashi, A ^a   Fujiwara, H ^a   Okamoto, Y ^b   Soejima, Y ^b   Nitta, J ^b   Nogami, A ^b   Aonuma, K ^b   Hiroe, M ^b   Marumo, F ^b   Hiraoka, M ^c  

^a Tsuchiura Kyodo Hospital   (Japan)

^b TOKYO MEDICAL AND DENTAL UNIVERSITY   (Japan)

^c TOKYO MEDICAL AND DENTAL UNIVERSITY   (Japan)

Author keywords

Flutter cycle length jump; Intraseptal flutter wave propagation; IVC TA isthmus dual muscle bundles; Orthodromic common atrial flutter; Septal isthmuses dual exits

Indexed keywords

ARTICLE; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; HEART ATRIUM FLUTTER; HUMAN; INFERIOR CAVA VEIN; MALE; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; TRICUSPID VALVE;

ATRIAL FLUTTER; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; TRICUSPID VALVE; VENA CAVA, INFERIOR;

EID: 0034172863     PISSN: 10995129     EISSN: None     Source Type: Journal    
DOI: 10.1053/eupc.1999.0086     Document Type: Article

References (33)

1. Puech P, Latour M, Grolleau R. Le flutter et ses limites. Arch Mal Coeur. 63:1970;116-120.
2. Waldo AL, Maclean WAH, Karp RB. Entrainment and interruption of atrial flutter with atrial pacing: Studies in man following open heart surgery. Circulation. 56:1977;737-745.
3. Disertori M, Inama G, Vergara G. Evidence of a reentry circuit in the common type of atrial flutter in man. Circulation. 67:1983;434-440.
4. Chauvin M, Brechenmacher C, Voegtlin JR. Application de-la cartographie endocavitaire a l'étude du flutter auriculaire. Arch Mal Coeur. 76:1983;1020-1030.
5. Klein GJ, Guiraudon GM, Sharma AD. Demonstration of macroreentry and feasibility of operative therapy in the common type of atrial flutter. Am J Cardiol. 57:1986;587-591.
6. Cosio FG, Arribas F, Palacios J. Fragmented electrograms and continuous electrical activity in atrial flutter. Am J Cardiol. 57:1986;1309-1314.
7. Frame LH, Page RL, Boyden PA. Circus movement in the canine atrium around the tricuspid ring during experimental atrial flutter and during reentry in vitro. Circulation. 76:1987;1155-1175.
8. Cosio FG, Arribas F, Barbero JM. Validation of double-spike electrograms as markers of conduction delay of block in atrial flutter. Am J Cardiol. 61:1988;775-780.
9. Boyden PA, Frame LH, Hoffman BF. Activation mapping of reentry around an anatomic barrier in the canine atrium: Observations during entrainment and termination. Circulation. 79:1989;406-416.
10. Olshansky B, Okumura K, Hess PG. Demonstration of an area slow conduction in human atrial flutter. J Am Coll Cardiol. 16:1990;1639-1648.
11. Olshansky B, Okumura K, Henthorn RW. Characterization of double potentials in human atrial flutter: Studies during transient entrainment. J Am Coll Cardiol. 15:1990;833-841.
12. Olshansky B, Wilber DJ, Hariman RJ. Atrial flutter-update on the mechanism and treatment. PACE. 15:1992;2308-2335.
13. Saoudi N, Atallah G, Kirkorian G. Catheter ablation of the myocardium in human type I atrial flutter. Circulation. 81:1990;762-771.
14. Feld GK, Fleck RP, Chen P-S. Radiofrequency catheter ablation for the treatment of human type I atrial flutter: Identification of a critical zone in the reentrant circuit by endocardial mapping techniques. Circulation. 86:1992;1233-1240.
15. Cosio FG, Goicolea A, Lopez-Gil M. Catheter ablation of atrial flutter circuits. PACE. 16:1993;637-642.
16. Cosio FG, Lopez-Gil M, Goicolea A. Radiofrquency ablation of the inferior vena cava-tricuspid valve ishtmus in common atrial flutter. Am J Cardiol. 71:1993;705-709.
17. Lesh MD, Van Hare GF, Epstein LM. Radiofrequency catheter ablation of atrial arrhythmias: Results and mechanisms. Circulation. 89:1994;1074-1089.
18. Kalman JM, Olgin JE, Saxon LA. Activation and entrainment mapping defines the tricuspid annulus as the anterior barrier in typical atrial flutter. Circulation. 94:1996;398-406.
19. Kirkorian G, Moncada E, Chevalier P. Radiofrequency ablation of atrial flutter: Efficacy of anatomically guided approach. Circulation. 90:1994;2804-2814.
20. Fisher B, Haissaguerre M, Garrigues S. Radiofrequency catheter ablation of common atrial flutter in 80 patients. J Am Coll Cardiol. 25:1995;1365-1372.
21. Poty H, Saoudi N, Aziz AA. Radiofrequency catheter ablation of type I atrial flutter: Prediction of late success by electrophysiological criteria. Circulation. 92:1995;1389-1392.
22. Nakagawa H, Lazzara R, Khastgir T. Role of the tricuspid annulus and the eustachian valve/ridge in atrial flutter: Relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success. Circulation. 94:1996;407-424.
23. Cosio FG, Arribas F, Lopez-Gil M. Radiofrequency ablation of atrial flutter. J Cardiovasc Electrophysiol. 7:1996;60-70.
24. Cosio FG, Arribas F, Lopez-Gil M. Atrial flutter mapping and ablation I: Studying atrial flutter mechanisms by mapping and entrainment. PACE. 19:1996;841-853.
25. Chen S, Chiang C, Wu T. Radiofrequency catheter ablation of common atrial flutter: Comparison of electrophysiologically guided focal ablation technique and linear ablation technique. J Am Coll Cardiol. 27:1996;860-868.
26. Iesaka Y, Takahashi A, Goya M. High energy radiofrequency catheter ablation for common atrial flutter targeting the isthmus between the inferior vena cava and tricuspid valve annulus using a super long tip electrode. PACE. 21:1998;401-409.
27. Cosio FG, Lopez-Gil M, Arribas F. Mechanisms of entrainment of human common flutter studied with multiple endocardial recordings. Circulation. 89:1994;2117-2125.
28. Saumarez RC, Parker J, Camm J. Geometrically accurate activation mapping of the atrioventricular node region during surgery. J Am Coll Cardiol. 19:1992;601-606.
29. Olgin JE, Kalman JM, Fitzpatrick AP. Role of right atrial endocardial structures as barriers to conduction during human type I atrial flutter: Activation and entrainment mapping guided by intracardiac echocardiography. Circulation. 92:1995;1839-1848.
30. Racker DK. Atrioventricular node and input pathways: A correlated gross anatomical and histological study of the canine atrioventricular junctional region. Anat Rec. 224:1989;336-354.
31. Interian A, Cox MM, Jimenez RA. A shared pathway in atrioventricular nodal reentrant tachycardia and atrial flutter: Implications for pathophysiology and therapy. Am J Cardiol. 71:1993;297-303.
32. Racker DK, Ursell PC, Hoffman BF. Anatomy of the tricuspid annulus: Circumferential myofibers as the structural basis for atrial flutter in a canine model. Circulation. 84:1991;841-851.
33. Saoudi N, Poty H, Anselme F. Endocardial activation mapping of the area posterior to the coronary sinus ostium in type 1 atrial flutter (Abstr). J Am Coll Cardiol. 25:1995;168A.