?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=An+Approach+to+Catheter+Ablation+of+Cavotricuspid+Isthmus+Dependent+Atrial+Flutter&rft.creator=O%E2%80%99Neill%2C+Mark+D&rft.creator=Ja%C3%AFs%2C+Pierre&rft.creator=J%C3%B6nsson%2C+Anders&rft.creator=Takahashi%2C+Yoshihide&rft.creator=Sacher%2C+Fr%C3%A9d%C3%A9ric&rft.creator=Hocini%2C+M%C3%A9l%C3%A8ze&rft.creator=Sanders%2C+Prashanthan&rft.creator=Rostock%2C+Thomas&rft.creator=Rotter%2C+Martin&rft.creator=Cl%C3%A9menty%2C+Jacques&rft.creator=Ha%C3%AFssaguerre%2C+Michel&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=+Much+of+our+understanding+of+the+mechanisms+of+macro+re-entrant+atrial+tachycardia+comes+from+study+of+cavotricuspid+isthmus+(CTI)+dependent+atrial+flutter.++In+the+majority+of+cases%2C+the+diagnosis+can+be+made+from+simple+analysis+of+the+surface+ECG.++Endocardial+mapping+during+tachycardia+allows+confirmation+of+the+macro+re-entrant++circuit+within+the+right+atrium+while%2C+at+the+same+time%2C+permitting+curative+catheter+ablation+targeting+the+critical+isthmus+of+tissue+located+between+the+tricuspid+annulus+and+the+inferior+vena+cava.++The+procedure+is+short%2C+safe+and+by+demonstration+of+an+electrophysiological+endpoint+-+bidirectional+conduction+block+across+the+CTI+-+is+associated+with+an+excellent+outcome+following+ablation.++It+is+now+fair+to+say+that+catheter+ablation+should+be+considered+as+a+first+line+therapy+for+patients+with+documented+CTI-dependent+atrial+flutter.&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.contributor=Ghosh%2C+Joydeep&rft.date=2006-04&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4803%2F1%2FONeill.htm&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4803%2F2%2FONeill.pdf&rft.identifier=++O%E2%80%99Neill%2C+Mark+D+and+Ja%C3%AFs%2C+Pierre+and+J%C3%B6nsson%2C+Anders+and+Takahashi%2C+Yoshihide+and+Sacher%2C+Fr%C3%A9d%C3%A9ric+and+Hocini%2C+M%C3%A9l%C3%A8ze+and+Sanders%2C+Prashanthan+and+Rostock%2C+Thomas+and+Rotter%2C+Martin+and+Cl%C3%A9menty%2C+Jacques+and+Ha%C3%AFssaguerre%2C+Michel++(2006)+An+Approach+to+Catheter+Ablation+of+Cavotricuspid+Isthmus+Dependent+Atrial+Flutter.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4803%2F