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- Title
The Role of Catheter Ablation Techniques in the Treatment of Classic (Type 1) Atrial Flutter.
- Authors
Saoudi, Nadir; Derumeaux, Geneviève; Cribier, Alain; Letac, Brice
- Abstract
Several attempts at circuit interruption of type 1 atrial flutter by means of surgical or catheter techniques have been published. We recently reported the results of a series of patients who underwent catheter fulguration of the low septal right atrium, with a mean follow-up of almost 3 years. True electrophysiological success was observed in 7/14 patients (50%). Clinical success, defined as absence of symptoms, was observed in 8/14 (57%) in this patient population. No serious complications were encountered, but the potential risks of DC shock, and the experience that we gained in right atrial mapping using this approach, led us to reconsider the role of atrial DC ablation in these patients. Additional studies assessing the meaning of fragmented electrograms, and identification of one (or of several) slow conduction areas of the reentrant circuit are ongoing.
- Subjects
CATHETER ablation; ATRIAL flutter; FRAGMENTATION reactions; CATHETERIZATION; ELECTROSURGERY; ATRIAL arrhythmias; THERAPEUTICS
- Publication
Pacing & Clinical Electrophysiology, 1991, Vol 14, Issue 11, p2022
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/j.1540-8159.1991.tb02809.x