The electroanatomic characteristics of the cavotricuspid isthmus: Implications for the catheter ablation of atrial flutter

Journal of Cardiovascular Electrophysiology

Volumn 18, Issue 1, 2007, Pages 18-22

  Chang, Shih Lin ^a   Tai, Ching Tai ^a,c   Lin, Yenn Jiang ^a   Ong, Mary Gertrude ^a   Wongcharoen, Wanwarang ^a   Lo, Li Wei ^a   Chang, Sheng Hsiung ^a   Hsieh, Ming Hsiung ^b   Chen, Shih Ann ^a  

^a NATIONAL YANG MING UNIVERSITY   (Taiwan)

^b TAIPEI MEDICAL UNIVERSITY   (Taiwan)

^c TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

Author keywords

Atrial flutter; Cavotricuspid isthmus; Pouch

Indexed keywords

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CATHETER ABLATION; CAVOTRICUSPID ISTHMUS; CORRELATION ANALYSIS; FEMALE; FLUOROSCOPY; GEOMETRY; HEART; HEART ATRIUM FLUTTER; HEART RIGHT ATRIUM; HUMAN; IMAGING SYSTEM; MAJOR CLINICAL STUDY; MALE; MORPHOLOGY; PRIORITY JOURNAL; SINUS RHYTHM; THREE DIMENSIONAL IMAGING;

ADULT; ANGIOGRAPHY; ATRIAL FLUTTER; CATHETER ABLATION; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; VENA CAVA, INFERIOR;

EID: 33845605503     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2006.00647.x     Document Type: Article

References (18)

1. 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.
2. Cauchemez 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.
3. 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.
4. Feld G, Wharton M, Plumb V, Daoud E, Friehling T, Epstein L: Radiofrequency catheter ablation of type 1 atrial flutter using large-tip 8-or 10-mm electrode catheters and a high-output radiofrequency energy generator: Results of a multicenter safety and efficacy study. J Am Coll Cardiol 2004;43:1466-1472.
5. 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.
6. 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.
7. Heidbuchel H, Willems R, van Rensburg H, Adams J, Ector H, Van de WF: Right atrial angiographic evaluation of the posterior isthmus: Relevance for ablation of typical atrial flutter. Circulation 2000;101:2178-2184.
8. Willems S, Weiss C, Ventura R, Ruppel R, Risius T, Hoffmann M, Meinertz T: Catheter ablation of atrial flutter guided by electroanatomic mapping (CARTO): A randomized comparison to the conventional approach. J Cardiovasc Electrophysiol 2000;11:1223-1230.
9. 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;102:2082-2086.
10. Cabrera JA, Sanchez-Quintana D, Farre J, Rubio JM, Ho SY: The inferior right atrial isthmus: Further architectural insights for current and coming ablation technologies. J Cardiovasc Electrophysiol 2005;16:402-408.
11. Da Costa A, Faure E, Thevenin J, Messier M, Bernard S, Abdel K, Robin C, Romeyer C, Isaaz K: Effect of isthmus anatomy and ablation catheter on radiofrequency catheter ablation of the cavotricuspid isthmus. Circulation 2004;110:1030-1035.
12. Morton JB, Sanders P, Davidson NC, Sparks PB,Vohra JK, Kalman JM: Phased-array intracardiac echocardiography for defining cavotricuspid isthmus anatomy during radiofrequency ablation of typical atrial flutter. J Cardiovasc Electrophysiol 2003;14:591-597.
13. Inoue S, Becker AE: Koch's triangle sized up: Anatomical landmarks in perspective of catheter ablation procedures. Pacing Clin Electrophysiol 1998;21:1553-1558.
14. Waki K, Saito T, Becker AE: Right atrial flutter isthmus revisited: Normal anatomy favors nonuniform anisotropic conduction. J Cardiovasc Electrophysiol 2000;11:90-94.
15. Binder TM, Rosenhek R, Frank H, Gwechenberger M, Maurer G, Baumgartner H: Congenital malformations of the right atrium and the coronary sinus: An analysis based on 103 cases reported in the literature and two additional cases. Chest 2000;117:1740-1748.
16. Chockalingam A, Alagesan R, Gnanavelu G, Dorairajan S, Subramaniam T: Right atrial aneurysm in adults-report of three cases and review of literature. Echocardiography 2004;21:639-643.
17. Ozaydin M, Tada H, Chugh A, Scharf C, Lai SW, Pelosi F Jr., Knight BP, Morady F, Oral H: Atrial electrogram amplitude and efficacy of cavotricuspid isthmus ablation for atrial flutter. Pacing Clin Electrophysiol 2003;26:1859-1863.
18. Ventura R, Rostock T, Klemm HU, Lutomsky B, Demir C, Weiss C, Meinertz T, Willems S: Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: A randomized prospective study. J Cardiovasc Electrophysiol 2004;15:1157-1161.