TY  - GEN
ID  - cogprints4803
UR  - http://cogprints.org/4803/
A1  - O?Neill, Mark D
A1  - Jaïs, Pierre
A1  - Jönsson, Anders
A1  - Takahashi, Yoshihide
A1  - Sacher, Frédéric
A1  - Hocini, Mélèze
A1  - Sanders, Prashanthan
A1  - Rostock, Thomas
A1  - Rotter, Martin
A1  - Clémenty, Jacques
A1  - Haïssaguerre, Michel
Y1  - 2006/04//
N2  -  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, 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, at the same time, permitting curative catheter ablation targeting the critical isthmus of tissue located between the tricuspid annulus and the inferior vena cava.  The procedure is short, 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.
PB  - Indian Pacing and Electrophysiology Group
KW  - Atrial flutter; cavotricuspid isthmus; ablation

TI  - An Approach to Catheter Ablation of Cavotricuspid Isthmus Dependent Atrial Flutter
SP  - 100
AV  - public
EP  - 110
ER  -

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