Electroanatomic mapping of postpacing intervals clarifies the complete active circuit and variants in atrial flutter

Heart Rhythm

Volumn 6, Issue 11, 2009, Pages 1586-1595

  Santucci, Peter A ^a   Varma, Niraj ^a,b   Cytron, Joseph ^a   Akar, Joseph G ^a   Wilber, David J ^a   Al Chekakie, M Obadah ^a   Brysiewicz, Neil ^a  

^a LOYOLA UNIVERSITY CHICAGO   (United States)

^b LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Atrial flutter; Entrainment; Mapping; Postpacing interval

Indexed keywords

AMIODARONE; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DOFETILIDE; SOTALOL;

ADULT; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; ELECTROANATOMIC MAPPING; FEMALE; HEART ATRIUM APPENDAGE; HEART ATRIUM CONDUCTION; HEART ATRIUM FLUTTER; HEART ATRIUM PACING; HEART ELECTROPHYSIOLOGY; HEART MUSCLE; HEART RIGHT ATRIUM; HUMAN; MALE; PRIORITY JOURNAL; SUPERIOR CAVA VEIN; THREE DIMENSIONAL IMAGING;

ADULT; AGED; ATRIAL FLUTTER; BODY SURFACE POTENTIAL MAPPING; CARDIAC PACING, ARTIFICIAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PACEMAKER, ARTIFICIAL;

EID: 70350484960     PISSN: 15475271     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.hrthm.2009.08.010     Document Type: Article

References (23)

1. Feld G.K., Fleck R.P., Chen P.S., et al. 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 86 (1992) 1233-1240
2. Olgin J.E., Kalman J.M., Fitzpatrick A.P., et al. 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 92 (1995) 1839-1848
3. Shah D.C., Jais P., Haissaguerre M., et al. Three-dimensional mapping of the common atrial flutter circuit in the right atrium. Circulation 96 (1997) 3904-3912
4. Nakagawa H., Lazzara R., Khastgir T., et al. 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 94 (1996) 407-424
5. Tai C.T., Chen S.A., Chen Y.J., et al. Conduction properties of the crista terminalis in patients with typical atrial flutter: basis for a line of block in the reentrant circuit. J Cardiovasc Electrophysiol 9 (1998) 811-819
6. Schumacher B., Jung W., Schmidt H., et al. Transverse conduction capabilities of the crista terminalis in patients with atrial flutter and atrial fibrillation. J Am Coll Cardiol 34 (1999) 363-373
7. Chen J., Hoff P.I., Erga K.S., et al. Global right atrial mapping delineates double posterior lines of block in patients with typical atrial flutter: a study using a three dimensional noncontact mapping system. J Cardiovasc Electrophysiol 14 (2003) 1041-1048
8. Tai C.T., Huang J.L., Lee P.C., et al. High-resolution mapping around the crista terminalis during typical atrial flutter: new insights into mechanisms. J Cardiovasc Electrophysiol 15 (2004) 406-414
9. Bochoeyer A., Yang Y., Cheng J., et al. electrocardiographic characteristics of right and left atrial flutter. Circulation 108 (2003) 60-66
10. Yang Y., Cheng J., Bochoeyer A., et al. Atypical right atrial flutter patterns. Circulation 103 (2001) 3092-3098
11. Zhang S., Younis G., Hariharan R., et al. Lower loop reentry as a mechanism of clockwise right atrial flutter. Circulation 109 (2004) 1630-1635
12. Waldo A.L. Atrial flutter: entrainment characteristics. J Cardiovasc Electrophysiol 8 (1997) 337-352
13. Maury P., Duparc A., Hebrard A., et al. Prevalence of typical atrial flutter with reentry circuit posterior to the superior vena cava: use of entrainment at the atrial roof. Europace 10 (2008) 190-196
14. Kalman J.M., Olgin J.E., Saxon L.A., et al. Activation and entrainment mapping defines the tricuspid annulus as the anterior barrier in typical atrial flutter. Circulation 94 (1996) 398-406
15. Sawa A., Shimizu A., Ueyama T., et al. Activation patterns and conduction velocity in posterolateral right atrium during typical atrial flutter using an electroanatomic mapping system. Circ J 72 (2008) 384-391
16. Waldo A.L., and Feld G.K. Inter-relationships of atrial fibrillation and atrial flutter mechanisms and clinical implications. J Am Coll Cardiol 51 (2008) 779-786
17. Tai C.T., Ong M.G., and Chen S.A. Electrophysiologic characteristics of the sinus venosa in patients with typical atrial flutter. Pacing Clin Electrophysiol 31 (2008) 99-102
18. Ishida A., Yoshida A., Kitamura H., et al. Identification of functional block line in atrial flutter using three-dimensional intracardiac echocardiography. Circ J 67 (2003) 940-944
19. Fukuzawa K., Yoshida A., Kubo S., et al. Upper turnover portion of the reentry circuit for typical and reverse typical atrial flutter. Pacing Clin Electrophysiol 31 (2008) 1160-1167
20. Matsuo K., Uno K., Khrestian C.M., et al. Conduction left-to-right and right-to-left across the crista terminalis. Am J Physiol Heart Circ Physiol 280 (2001) H1683-H1691
21. Van Hare G.F., and Waldo A.L. The atrial flutter reentrant circuit. Additional pieces of the puzzle. Circulation 94 (1996) 244-246
22. Fujiki A., Nishida K., Sakabe M., et al. Entrainment mapping of dual-loop macroreentry in common atrial flutter: new insights into the atrial flutter circuit. J Cardiovasc Electrophysiol 15 (2004) 679-685
23. Fatemi M., Mansourati J., Rosu R., et al. Value of entrainment mapping in determining the isthmus-dependent nature of atrial flutter in the presence of amiodarone. J Cardiovasc Electrophysiol 15 (2004) 1409-1415