Histopathologic background for resistance to conventional catheter ablation of common atrial flutter

Journal of Cardiovascular Electrophysiology

Volumn 15, Issue 7, 2004, Pages 829-832

  Igawa, Osamu ^a   Adachi, Masamitsu ^a   Hisatome, Ichiro ^b   Matsui, Yumie ^c  

^a TOTTORI UNIVERSITY   (Japan)

^b TOTTORI UNIVERSITY   (Japan)

^c Saiseikai Izuo Hospital   (Japan)

Author keywords

Atrial flutter; Catheter ablation; Cavotricuspid isthmus; Histopathology; Large tip catheter; Radiofrequency

Indexed keywords

AGED; ARTICLE; AUTOPSY; BLOOD FLOW; CASE REPORT; CATHETER ABLATION; CELLULAR DISTRIBUTION; ENERGY; FEMALE; HEART ATRIUM FLUTTER; HEART ATRIUM MUSCLE; HEART CATHETER; HEART MUSCLE; HEART MUSCLE CELL; HEART PROTECTION; HISTOPATHOLOGY; HUMAN; NERVE BLOCK; PRIORITY JOURNAL; RADIOFREQUENCY; THICKNESS; TREATMENT OUTCOME; TRICUSPID VALVE; VEIN;

AGED; ATRIAL FLUTTER; CATHETER ABLATION; CORONARY VESSELS; FATAL OUTCOME; FEMALE; HUMANS;

EID: 3242698565     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1540-8167.2004.03447.x     Document Type: Article

References (12)

1. Cosio FG, Goicolea A, Lopez-Gil M, Arribas F: Catheter ablation of atrial flutter circuits. Pacing Clin Electrophysiol 1993;16:637-642.
2. 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 1 atrial flutter. Identification of a critical zone in the reentrant circuit by endocardial mapping techniques. Circulation 1992;86:1233-1240.
3. Jais P, Haissaguerre M, Shah DC, Takahashi A, Hocini M, Lavergne T, Lafitte S, Le Mouroux A, Fischer B, Clementy J: Successful irrigated-tip catheter ablation of atrial flutter resistant to conventional radiofrequency ablation. Circulation 1998;98:835-838.
4. Weiss C, Becker J, Hoffmann M, Willems S: Can radiofrequency current isthmus ablation damage the right coronary artery? Histopathological findings following the use of a long (8 mm) tip electrode. Pacing Clin Electrophysiol 2002;25:860-862.
5. Delacretaz E, Stevenson WG, Winters GL, Friedman PL: Radiofrequency ablation of atrial flutter. Circulation 1999;99:E1-4.
6. Leonelli FM, Natale A, O'Connor W: Human histopathologic findings following radiofrequency ablation of the tricuspid-inferior vena cava isthmus. J Cardiovasc Electrophysiol 1999;10:599-602.
7. Kohno I, Ishihara T, Umetani K, Sawanobori T, Ijiri H, Komori S, Tamura K: Pathological findings of the isthmus between the inferior vena cava and tricuspid annulus ablated by radiofrequency application. Pacing Clin Electrophysiol 2000;23:921-923.
8. Miake J, Igawa O, Suga T, Adachi M, Yano A, Inoue Y, Fujita S, Yamanouchi Y, Ikeda K, Ogura K, Kato M, Hisatome I, Shigemasa C: Anatomical characteristics of septal and IVC isthmus. Pacing Clin Electrophysiol 1999;22(Pt II):865.
9. Cabrera JA, Sanchez-Quintana D, Ho SY, Medina A, Anderson RH: The architecture of the atrial musculature between the orifice of the inferior caval vein and the tricuspid valve: the anatomy of the isthmus. J Cardiovasc Electrophysiol 1998;9:1186-1195.
10. Shah DC, Takahashi A, Jais P, Hocini M, Peng JT, Clementy J, Haissaguerre M: Tracking dynamic conduction recovery across the cavotricuspid isthmus. J Am Coll Cardiol 2000;35:1478-1484.
11. von Ludinghausen M: The venous drainage of the human myocardium. Adv Anat Embryol Cell Biol 2003;168:1-104.
12. Iesaka Y, Takahashi A, Goya M, Yamane T, Tokunaga T, Amemiya H, Fujiwara H, Nitta J, Nogami A, Aonuma K, Hiroe M, Marumo F, Hiraoka 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. Pacing Clin Electrophysiol 1998;21:401-409.