J Interv Card Electrophysiol (2017) 49:307–318 DOI 10.1007/s10840-017-0269-z Catheter ablation of atypical atrial flutter: a novel 3D anatomic mapping approach to quickly localize and terminate atypical atrial flutter 1 1 1 2 2 Sri Sundaram & William Choe & J. Ryan Jordan & Nate Mullins & Charles Boorman & 3 4 Eric J. Kessler & Sunil Nath Received: 14 March 2017 /Accepted: 20 June 2017 /Published online: 29 June 2017 Springer Science+Business Media, LLC 2017 Abstract In comparison to the control cohort, the study cohort had a Purpose This study aims to describe a novel method of High shorter procedure time (135 ± 46 vs. 210 ± 41 min, Density Activation Sequence Mapping combined with p = 0.0009), fluoroscopy time (8.5 ± 3.7 vs. 17.7 ± 7.7 min, Voltage Gradient Mapping Overlay (HD-VGM) to quickly p = 0.0021), and success in termination of the arrhythmia localize and terminate atypical atrial flutter. during the procedure (100 vs. 68.2%, p =0.0230). Methods Twenty-one patients presenting with 26 different Conclusions Ablation of atypical atrial flutter is challenging atypical atrial flutter circuits after a previous catheter or surgi- and time consuming. This case series shows that HD-VGM cal AF ablation were studied. HD-VGM
Journal of Interventional Cardiac Electrophysiology – Springer Journals
Published: Jun 29, 2017
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