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

Volumn 7, Issue 3, 2002, Pages 225-231

  Hsieh, Ming Hsiung ^a,b   Tai, Ching Tai ^c,d   Chiang, Chern En ^c,d   Tsai, Chin Feng ^c,d   Yu, Wen Chung ^c,d   Chen, Yi Jen ^c,d   Ding, Yu An ^c,d   Chen, Shih Ann ^c,d  

^a TAIPEI MEDICAL UNIVERSITY   (Taiwan)

^b Wan Fang Hospital   (Taiwan)

^c NATIONAL YANG MING UNIVERSITY   (Taiwan)

^d TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

Author keywords

Atrial fibrillation; Atrial flutter; Catheter ablation

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CAVOTRICUSPID ISTHMUS; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW UP; HEART ATRIUM FLUTTER; HOLTER MONITORING; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; OUTCOMES RESEARCH; OUTPATIENT; PREDICTION; PRIORITY JOURNAL; QUESTIONNAIRE; SYMPTOM; TACHYCARDIA; TRICUSPID VALVE;

ANALYSIS OF VARIANCE; ATRIAL FIBRILLATION; ATRIAL FLUTTER; CATHETER ABLATION; CHI-SQUARE DISTRIBUTION; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW-UP STUDIES; HUMANS; LOGISTIC MODELS; LONGITUDINAL STUDIES; MALE; RECURRENCE; TREATMENT OUTCOME;

EID: 0036965671     PISSN: 1383875X     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1021392105994     Document Type: Article

References (32)

1. Olshansky B, Okumura K, Hess PG, Waldo AL. Demonstration of an area of slow conduction in human atrial flutter. J Am Coll Cardiol 1990;16:1639-1648.
2. Saoudi N, Atallah G, Kirkorian G, Touboul P. Catheter ablation of the atrial myocardium in human type I atrial flutter. Circulation 1990;81:762-771.
3. Feld GK, Fleck RP, Chen PS, Boyce K, Bahnson TD, Stein JB, Calisi CM, Ibarra M. 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 1992;86:1233-1240.
4. Cosio FG, Lopez-Gil M, Goicolea A, Arribas F, Barroso JL. Radiofrequency ablation of the inferior vena cave-tricuspid valve isthmus in common atrial flutter. Am J Cardiol 1993;71:705-709.
5. Olgin JE, Kalman JM, Fitzpatrick AP, Lesh MD. 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 1995;92:1839-1848.
6. Chen SA, Chiang CE, Wu TJ, Tai CT, Lee SH, Cheng CC, Chiou CW, Ueng KC, Wen ZC, Chang MS. Radiofrequency catheter ablation of common atrial flutter: Comparison of electrophysiologically guided focal ablation technique and linear ablation technique. J Am Coll Cardiol 1996;27:860-868.
7. Poty H, Saoudi N, Nair M, Anselme F, Letac B. Radiofrequency catheter ablation of atrial flutter. Further insights into the various types of isthmus block: Application to ablation during sinus rhythm. Circulation 1996;94:3204-3213.
8. Tai CT, Chen SA, Chiang CE, Lee SH, Wen ZC, Huang JL, Chen YJ, Yu WC, Feng AN, Lin YJ, Ding YA, Chang MS. Long-term outcome of radiofrequency catheter ablation for typical atrial flutter: Risk prediction of recurrent arrhythmias. J Cardiovasc Electrophysiol 1998;9:115-121.
9. Natale A, Newby KH, Pisano E, Leonelli F, Fanelli R, Potenza D, Beheiry S, Tomassoni G. Prospective randomized comparison of antiarrhythmic therapy versus firstline radiofrequency ablation in patients with atrial flutter. J Am Coll Cardiol 2000;35:1898-1904.
10. Sra J, Bhatia A, Dhala A, Blanck Z, Rathod S, Boveja B, Deshpande S, Cooley R, Akhtar M. Electroanatomic mapping to identify breakthrough sites in recurrent typical human flutter. PACE 2000;23:1479-1492.
11. Yamabe H, Okumura K, Misumi I, Fukushima H, Ueno K, Kimura Y, Hokamura Y. Role of bipolar electrogram polarity mapping in localizing recurrent conduction in the isthmus early and late after ablation of atrial flutter. J Am Coll Cardiol 1999;33:39-45.
12. Shah DC, Haissaguerre M, Jais P, Takahashi A, Hocini M, Clementy J. High-density mapping of activation through an incomplete isthmus ablation line. Circulation 1999;99:211-215.
13. Philippon F, Plumb VJ, Epstein AE, Kay GN. The risk of atrial fibrillation following radiofrequency catheter ablation of atrial flutter. Circulation 1995;92:430-435.
14. Paydak H, Kall JG, Burke MC, Rubenstein D, Kopp DE, Verdino RJ, Wiber DJ. Atrial fibrillation after radiofrequency ablation of type I atrial flutter: Time to onset, determinants, and clinical course. Circulation 1998;98:315-322.
15. Katritsis D, Iliodromitis E, Fragakis N, Adamopoulos S, Kremastinos D. Ablation therapy of type I atrial flutter may eradicate paroxysmal atrial fibrillation. Am J Cardiol 1996;78:345-347.
16. Movsowitz C, Callans DJ, Schwartzman D, Gottlieb C, Marchlinski FE. The results of atrial flutter ablation in patients with and without a history of atrial fibrillation. Am J Cardiol 1996;78:93-96.
17. Tsai CF, Tai CT, Yu WC, Chen YJ, Hsieh MH, Chiang CE, Ding YA, Chang MS, Chen SA. Is 8-mm more effective than 4-mm tip electrode catheter for ablation of typical atrial flutter? Circulation 1999;100:768-771.
18. Hsieh MH, Tai CT, Tsai CF, Yu WC, Lin WS, Huang JL, Ding YA, Chang MS, Chen SA. Mechanism of spontaneous transition from typical atrial flutter to atrial fibrillation: Role of ectopic atrial fibrillation foci. PACE 2001;24:46-52.
19. Mittal S, Das MK, Stein KM, Markowitz SM, Slotwiner DJ, Scheiner MA, Iwai S, Lerman BB. Frequency of subacute resumption of isthmus conduction after ablation of typical atrial flutter. Am J Cardiol 2001;87:1113-1116.
20. Bru P, Duplantier C, Bourrat M, Valy Y, Lorillard R. Resumption of right atrial isthmus conduction following atrial flutter radiofrequency ablation. PACE 2000;23:908-910.
21. Takahashi R, Iesaka Y, Takahashi A, Hiroe M, Marumo F. Clinical significance of residual slow cavotricuspid isthmus conduction after ablation of typical atrial flutter. PACE 2000;23:1902-1907.
22. Yang Y, Cheng J, Bochoeyer A, Hamdan MH, Kowal RC, Page R, Lee RJ, Steiner PR, Saxon LA, Lesh MD, Modin GW, Scheinman MM. Atypical right atrial flutter patterns. Circulation 2001;103:3092-3098.
23. Iesaka Y, Takahashi A, Goya M, Fujiwara H, Nitta J, Nogami A, Aonuma K, Hiore M, Marumo F, Hiraoka M. Nonlinear ablation targeting an isthmus of critically slow conduction detected by high-density electroanatomical mapping for atypical atrial flutter. PACE 2000;23:1911-1915.
24. Kall JG, Rubenstein DS, Kopp DE, Burke MC, Verdino RJ, Lin AC, Johnson CT, Cooke PA, Wang ZG, Fumo M, Wiber DJ. Atypical atrial flutter originating in the right atrial free wall. Circulation 2000;101:270-279.
25. Kalman JM, Olgin JE, Saxon LA, Lee RJ, Scheinman MM, Lesh MD. Electrocardiographic and electrophysiologic characterization of atypical atrial flutter in man: Use of activation and entrainment mapping and implications for catheter ablation. J Cardiovasc Electrophysiol 1997;8:121-144.
26. Da Costa A, Romeyer C, Mourot S, Messier M, Cerisier A, Faure E, Isaaz K. Factors associated with early atrial fibrillation after ablation of common atrial flutter. A single center prospective study. Eur Heart J 2002;23:498-506.
27. Kumagai K, Tojo H, Noguchi H, Yasuda T, Tamari H, Matsumoto N, Gondo N, Nakashima H, Saku. Effects of cavotricuspid isthmus catheter ablation on paroxysmal atrial fibrillation. Jpn Heart J 2001;42:79-89.
28. Roithinger FX, Karch MR, Steiner PR, SippensGroenewegen A, Lesh MD. Relationship between atrial fibrillation and typical atrial flutter in humans: Activation sequence changes during spontaneous conversion. Circulation 1997;96:3484-3491.
29. Kottkamp H, Hugl B, Krauss B, Wetzel U, Fleck A, Schuler G, Hindricks G. Electromagnetic versus fluoroscopic mapping of the inferior isthmus for ablation of typical atrial flutter: A prospective randomized study. Circulation 2000;102:2081-2086.
30. Jais P, Shah DC, Haissaguerre M, Hocini M, Garrigue S, Le Metayer P, Clementy J. Prospective randomized comparison of irrigated-tip versus conventional-tip catheters for ablation of common flutter. Circulation 2000;101:631-639.
31. Ohba Y, Shimoike E, Ueda N, Maruyama T, Kaji Y, Fujino T, Niho Y. Influence of right atrial structure on outcome of radiofrequency catheter ablation for common atrial flutter. Jpn Circ J 2000;64:741-744.
32. Heidbuchel H, Willems R, van Rensburg H, Adams J, Ector H, Van de Werf F. Right atrial angiographic evaluation of the posterior isthmus: Relevance for ablation of typical atrial flutter. Circulation 2000;101:2178-2184.