A case of successful radiofrequency catheter ablation for atrial tachycardia originating from the inferior vena cava using high-resolution mapping

Autor: Yusaku Fukumoto, Yuji Kamikawa, Tatsuya Koike, Masahiro Esato
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 22, Iss 5, Pp 245-250 (2022)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2022.06.006
Popis: A 60-year-old man presented with sustained supraventricular tachycardia. Atrial tachycardia (AT), with the earliest atrial activation (EAA) occurring at the ostium of the coronary sinus, was reproducibly induced.Three-dimensional electroanatomical mapping (3DEAM) using a 3.5-mm distal electrode tip linear catheter (Thermocool) and radiofrequency energy (RF) was performed at the fractionated atrial electrogram site. It preceded at 30 ms to the EAA but did not terminate AT. Further 3DEAM using a multielectrode mapping catheter (Pentaray) demonstrated a centrifugal propagation pattern at the boundary zone between the right atrium and inferior vena cava. RF application here terminated AT, which then became non-inducible.
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