Conduction velocity around the tricuspid valve annulus during type 1 atrial flutter: Defining the location of areas of slow conduction by three-dimensional electroanatomical mapping

Journal of Interventional Cardiac Electrophysiology

Volumn 8, Issue 2, 2003, Pages 121-127

  Hassankhani, Alborz ^a   Yao, Biguang ^a   Feld, Gregory K ^a  

^a NONE

Author keywords

Atrial flutter; Conduction velocity; Flutter isthmus

Indexed keywords

ADULT; AGED; ANALYSIS OF VARIANCE; ANISOTROPY; ARTICLE; CLINICAL ARTICLE; FEMALE; HEART ATRIUM FLUTTER; HEART CONDUCTION; HEART VENTRICLE SEPTUM; HUMAN; INFERIOR CAVA VEIN; MALE; PRIORITY JOURNAL; THREE DIMENSIONAL ELECTROANATOMICAL MAPPING; THREE DIMENSIONAL IMAGING; TRICUSPID VALVE;

ANISOTROPY; ATRIAL FLUTTER; ATRIAL FUNCTION, RIGHT; CATHETER ABLATION; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HEART ATRIA; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; TRICUSPID VALVE; VENA CAVA, INFERIOR;

EID: 0038546789     PISSN: 1383875X     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1023656800438     Document Type: Article

References (24)

1. Waldo AL. Pathogenesis of atrial flutter. J Cardiovasc Electrophysiol 1998;9(8suppl):S18-25.
2. Daoud EG, Morady F. Pathophysiology of atrial flutter. Annu Rev Med 1998;49:77-83.
3. Olshansky B, Okumura K, Henthorn R, Epstein AE, Plumb VJ, Waldo AL. Atrial mapping of human atrial flutter demonstrates reentry in the right atrium. J Am Coll Cardiol 1988;7:194A (Abstract).
4. Disertori M, Inama G, Vergara G, Guarnerio M, Del Favero A, Furlanello F. Evidence of a reentry circuit in the common type of atrial flutter in man. Circulation 1983;67:434-440.
5. Saoudi N, Atallah G, Kirkorian G, Touboul P. Catheter ablation of the atrial myocardium in human type 1 atrial flutter. Circulation 1990;81:762-771.
6. Feld GK, Fleck P, Chen P-S, Boyce K, Bahnson T, Stein J, Calisi CM, Ibarra, M. Radiofrequency catheter ablation for the treatment of human type 1 atrial flutter: Identification of a critical zone in the reentrant circuit by endocardial mapping techniques. Circulation 1992;86:1233-1240.
7. Chauchemez B, Haissaguerre M, Fischer B, Thomas O, Clementy J, Coumel P. Electrophysiological effects of catheter ablation of inferior vena cava-tricuspid annulus isthmus in common atrial flutter. Circulation 1996;93:284-294.
8. Chen J, de Chillou C, Basiouny T, Sadoul N, Da Silva Filho J, Magnin-Poull I, Messier M and Aliot E. Cavotricuspid isthmus mapping to assess bi-directional block during common atrial flutter radiofrequency ablation. Circulation 1999;100:2507-2513.
9. Cosio FG, Arribas F, Barbero JM, Kallmeyer C, Goicolea A. Validation of double-spike electrograms as markers of conduction delay or block in atrial flutter. Am J Cardiol 1988;61:775-780.
10. Cosio FG, Arribas F, Palacios J, Tascon J, Lopez-Gil M. Fragmented electrograms and continuous electrical activity in atrial flutter. Am J Cardiol 1986;57:1309-1314.
11. 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.
12. Feld GK, Mollerus M, Birgersdotter-Green U, Fujimura O, Bahnson T, Boyce K, and Rahme M. Conduction velocity in the tricuspid valve-inferior vena cava isthmus is slower in patients with type I atrial flutter compared to those without a history of atrial flutter. J Cardiovasc Electrophysiol 1997;8:1338-1348.
13. Tai C, Chen S, Chiang C, Lee S, Ueng K, Wen Z, Huang J, Chen Y, Yu W, Feng A, Chiou C, Chang M. Characterization of low right atrial isthmus as the slow conduction zone and pharmacological target in typical atrial flutter. Circulation 1997;96:2601-2611.
14. Kalman JM, Olgin JE, Saxon LA, Fisher WG, Lee RJ, Lesh MD. Activation and endocardial mapping defines the tricuspid annulus as the anterior barrier in typical atrial flutter. Circulation 1996;94:398-406.
15. Nakagawa H, Lazzara R, Khastgir T, Beckman KJ, McClelland JH, Imai S, Pitha JV, Becker AE, Arruda M, Gonzales MD, Widman LE, Neuhauser J, Wang X, Calame JD, Goudeau MD, and Jackman WM. Role of the tricuspid annulus and the Eustachian valve/ridge on atrial flutter: Relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success. Circulation 1996;94:407-424.
16. Olgin JE, Kalman JM, Fitzpatrick AP, Lesh MD. Role of right atrial endocardial structures as barriers to conduction during human type 1 atrial flutter: Activation and entrainment mapping guided by intracardiac echocardiography. Circulation 1996;92:1839-1848.
17. Hocini M, Loh P, Ho SY, Sanchez-Quintana D, Thibault B, de Bakker JM and Janse MJ. Anisotropic conduction in the triangle of Koch of mammalian hearts: Electrophysiologic and anatomic correlations. J Am Coll Cardiol 1998;31:629-636.
18. Wang K, Ho SY, Gibson DG, Anderson RH. Architecture of atrial musculature in humans. Br Heart J 1995;73:559-565.
19. Feld GK. Evolution of diagnostic and interventional cardiac electrophysiology: A brief historical review. Am J Cardiol 1999;84:115R-124R.
20. Gepstein L, Hayam G, Benttaim SA. A novel method for non fluoroscopic catheter-based electroanatomical mapping of the heart: In vitro and in vivo accuracy results. Circulation 1997;95:1611-1622.
21. Nakagawa H, Jackman WM. Use of a three-dimensional, nonfluoroscopic mapping system for catheter ablation of typical atrial flutter. Pacing Clin Electrophysiol 1998;21:1279-1286.
22. Shah DC, Jais P, Haissaguerre M, Chouairi S, Takahashi A, Hocini M, Garrigue S, Clementy J. Three-dimensional mapping of the common atrial flutter circuit in the right atrium. Circulation 1997;96:3904-3912.
23. Cabrera JA, Sanchez-Quintana D, Ho SY, Medina A, Wanguemert F, Gross E, Grillo J, Hernandez E, Anderson RH. Angiographic anatomy of the inferior right atrial isthmus in patients with and without history of common atrial flutter. Circulation 1999;99:3017-3023.
24. Frey B, Kreiner G, Binder T, Heinz G, Baumgartner H, Gossinger, HD. Relation between left atrial size and secondary atrial arrhythmias after successful catheter ablation of common atrial flutter. Pacing Clin Electrophysiol 1997;20:2936-2942.