Rapid ablation for atrial flutter by targeting maximum voltage - Factors associated with short ablation times

Journal of Cardiovascular Electrophysiology

Volumn 18, Issue 6, 2007, Pages 612-616

  Subbiah, Rajesh N ^a   Gula, Lorne J ^a,b   Krahn, Andrew D ^a   Posan, Emoke ^a   Yee, Raymond ^a   Klein, George J ^a   Skanes, Allan C ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b LONDON HEALTH SCIENCES CENTRE   (Canada)

Author keywords

Atrial flutter; Cardiac anatomy; Catheter ablation; Clinical

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; HEART ATRIUM FLUTTER; HIGH TEMPERATURE; HUMAN; INDEPENDENT VARIABLE; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RADIOFREQUENCY ABLATION; RISK; SINUS RHYTHM; STATISTICAL ANALYSIS; TECHNIQUE; TREATMENT DURATION;

ADULT; AGED; ATRIAL FLUTTER; CATHETER ABLATION; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; RECURRENCE; REGRESSION ANALYSIS; TIME FACTORS; TREATMENT OUTCOME;

EID: 34249043241     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2007.00804.x     Document Type: Article

References (17)

1. Natale A, Newby KH, Pisano E, Leonelli F, Fanelli R, Potenza D, Beheiry S, Tomassoni G : Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter. J Am Coll Cardiol 2000 35 : 1898 1904.
2. 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.
3. Shah DC, Haissaguerre M, Jais P, Fischer B, Takahashi A, Hocini M, Clementy J : Simplified electrophysiologically directed catheter ablation of recurrent common atrial flutter. Circulation 1997 96 : 2505 2508.
4. Schreieck J, Zrenner B, Kumpmann J, Ndrepepa G, Schneider MA, Deisenhofer I, Schmitt C : Prospective randomized comparison of closed cooled-tip versus 8-mm-tip catheters for radiofrequency ablation of typical atrial flutter. J Cardiovasc Electrophysiol 2002 13 : 980 985.
5. Atiga WL, Worley SJ, Hummel J, Berger RD, Gohn DC, Mandalakas NJ, Kalbfleisch S, Halperin H, Donahue K, Tomaselli G, Calkins H, Daoud E : Prospective randomized comparison of cooled radiofrequency versus standard radiofrequency energy for ablation of typical atrial flutter. Pacing Clin Electrophysiol 2002 25 : 1172 1178.
6. Scavee C, Jais P, Hsu LF, Sanders P, Hocini M, Weerasooriya R, MacLe L, Raybaud F, Clementy J, Haissaguerre M : Prospective randomised comparison of irrigated-tip and large-tip catheter ablation of cavotricuspid isthmus-dependent atrial flutter. Eur Heart J 2004 25 : 963 969.
7. 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.
8. Scavee C, Georger F, Jamart J, Mancini I, Collet B, Blommaert D, De Roy L : Is a cooled tip catheter the solution for the ablation of the cavotricuspid isthmus? Pacing Clin Electrophysiol 2003 26 : 328 331.
9. Marrouche NF, Schweikert R, Saliba W, Pavia SV, Martin DO, Dresing T, Cole C, Balaban K, Saad E, Perez-Lugones A, Bash D, Tchou P, Natale A : Use of different catheter ablation technologies for treatment of typical atrial flutter: Acute results and long-term follow-up. Pacing Clin Electrophysiol 2003 26 : 743 746.
10. 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.
11. Rotter M, Scavee C, Sacher F, Sanders P, Takahashi Y, Hsu LF, Rostock T, Hocini M, Jais P, Clementy J, Haissaguerre M : Correlation of atrial electrocardiographic amplitude with radiofrequency energy required to ablate cavotricuspid isthmus-dependent atrial flutter. Heart Rhythm 2005 2 : 263 269.
12. Ventura R, Willems S, Weiss C, Flecke J, Risius T, Rostock T, Hoffmann M, Meinertz T : Large tip electrodes for successful elimination of atrial flutter resistant to conventional catheter ablation. J Interv Card Electrophysiol 2003 8 : 149 154.
13. Redfearn DP, Skanes AC, Gula LJ, Krahn AD, Yee R, Klein GJ : Cavotricuspid isthmus conduction is dependent on underlying anatomic bundle architecture: Observations using a maximum voltage-guided ablation technique. J Cardiovasc Electrophysiol 2006 17 : 832 838.
14. 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.
15. 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.
16. Waki K, Saito T, Becker AE : Right atrial flutter isthmus revisited: Normal anatomy favors nonuniform anisotropic conduction. J Cardiovasc Electrophysiol 2000 11 : 90 94.
17. 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.