Catheter Ablation of Tachycardias After Undergoing a Surgical Atriotomy Using a Multipolar Electrode Catheter
| Autor: | Akihiko Nogami, Hiroshi Tada, Kenji Yaginuma, Kazuhiko Yumoto, Toshiyuki Tamaki, Shigeto Naito, Motohiro Nakao, Hajime Aoki, Shoichi Kubota, Aiko Sugiyasu, Kenichi Kato, Shinya Kowase, Hideki Arima, Atsushi Sakamoto |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Electroanatomic mapping medicine.medical_treatment Catheter ablation Inferior vena cava Catheterization Heart Conduction System Superior vena cava Tachycardia Internal medicine medicine Humans Heart Atria cardiovascular diseases Atrial tachycardia Aged Retrospective Studies business.industry Cardiac Pacing Artificial General Medicine Middle Aged Ablation medicine.disease Surgery Catheter Atrial Flutter medicine.vein Catheter Ablation cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Atrial flutter |
| Zdroj: | Circulation Journal. 69:837-843 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.69.837 |
| Popis: | BACKGROUND A variety of supraventricular tachyarrhythmias may occur in patients after undergoing a surgical atriotomy. The purpose of this study was to characterize them and determine the role of conventional mapping. METHODS AND RESULTS In 45 patients after a surgical atriotomy, 68 atrial tachyarrhythmias were observed. A conventional mapping system with a 20-pole electrode catheter used in the electrophysiological study detected 39 atrial tachycardias (ATs). Type 1 atrial flutter (AFL) was observed in 23 and reverse type 1 AFL in 4. AT was classified into 3 subgroups, namely, incisional macroreentrant AT (n=31), incisional focal AT (n=1) and non-incisional AT (n=7). In the patients with incisional macroreentrant AT after the standard right atriotomy, the 20-pole electrode catheter placed on the incision could easily record the entire sequence of the atrial activation. Successful catheter ablation was achieved in all patients with incisional reentrant AT. The ablation site of incisional reentrant AT was the isthmus between the incision and the superior vena cava cannulation scar in 4, between the incision and the inferior vena cava cannulation scar in 22, and the area at the septal incision in 3. The remaining 2 incisional ATs were left atrial AT and right atrial transincisional AT. CONCLUSIONS The conventional mapping system is still very useful for making an electrophysiological diagnosis in patients after a standard right atriotomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|