학술논문

Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
Document Type
Report
Source
Journal of Arrhythmia. February, 2024, Vol. 40 Issue 1, p191, 4 p.
Subject
Ablation (Surgery) -- Comparative analysis
Language
English
ISSN
1880-4276
Abstract
Background: Electroanatomical mapping is an essential tool in the ablation of typical AFL. Objectives: To identify the existence of voltage patterns in the CTI voltage maps and their relevance for typical AFL ablation. Methods: A voltage map of the CTI was made prior to ablation, identifying the areas of maximum voltage and their location along the CTI, allowing classification into patterns according to their distribution. A stepwise ablation approach targeting the areas of maximum voltage was conducted. The ablation characteristics were compared based on the pattern obtained. Results: Two voltage patterns were identified, with differences in ablation time to bidirectional CTI block. No complications occurred. Conclusions: Voltage mapping identifies patterns in the CTI with implications for typical AFL ablation.
BACKGROUND Since the early days of cavotricuspid isthmus (CTI) ablation, the usual approach has been to perform a radiofrequency (RF) dotted line in the base of the right atrium (RA), [...]