Heart Rhythm
Volume 6, Issue 11 , Pages 1586-1595 , November 2009

Electroanatomic mapping of postpacing intervals clarifies the complete active circuit and variants in atrial flutter

  • Peter A. Santucci, MD

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Peter A. Santucci, Loyola University Medical Center, 2160 S. First Avenue, Maywood, Illinois 60153
    • ,
  • Niraj Varma, MD

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • Division of Cardiology, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Joseph Cytron, MD

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • ,
  • Joseph G. Akar, MD, PhD

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • ,
  • David J. Wilber, MD, FHRS

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • ,
  • M. Obadah Al Chekakie, MD

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois
    • ,
  • Neil Brysiewicz, BSE

      Affiliations

    • Division of Cardiology, Loyola University, Maywood, Illinois

Received 3 May 2009 ,Accepted 6 August 2009.

References 

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  2. Olgin JE, Kalman JM, Fitzpatrick AP, et al. Role of right atrial endocardial structures as barriers to conduction during human type I atrial flutter (Activation and entrainment mapping guided by intracardiac echocardiography). Circulation. 1995;92:1839–1848
  3. Shah DC, Jais P, Haissaguerre M, et al. Three-dimensional mapping of the common atrial flutter circuit in the right atrium. Circulation. 1997;96:3904–3912
  4. Nakagawa H, Lazzara R, Khastgir T, et al. Role of the tricuspid annulus and the eustachian valve/ridge on atrial flutter (Relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success). Circulation. 1996;94:407–424
  5. Tai CT, Chen SA, Chen YJ, et al. Conduction properties of the crista terminalis in patients with typical atrial flutter: basis for a line of block in the reentrant circuit. J Cardiovasc Electrophysiol. 1998;9:811–819
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  13. Maury P, Duparc A, Hebrard A, et al. Prevalence of typical atrial flutter with reentry circuit posterior to the superior vena cava: use of entrainment at the atrial roof. Europace. 2008;10:190–196
  14. Kalman JM, Olgin JE, Saxon LA, et al. Activation and entrainment mapping defines the tricuspid annulus as the anterior barrier in typical atrial flutter. Circulation. 1996;94:398–406
  15. Sawa A, Shimizu A, Ueyama T, et al. Activation patterns and conduction velocity in posterolateral right atrium during typical atrial flutter using an electroanatomic mapping system. Circ J. 2008;72:384–391
  16. Waldo AL, Feld GK. Inter-relationships of atrial fibrillation and atrial flutter mechanisms and clinical implications. J Am Coll Cardiol. 2008;51:779–786
  17. Tai CT, Ong MG, Chen SA. Electrophysiologic characteristics of the sinus venosa in patients with typical atrial flutter. Pacing Clin Electrophysiol. 2008;31:99–102
  18. Ishida A, Yoshida A, Kitamura H, et al. Identification of functional block line in atrial flutter using three-dimensional intracardiac echocardiography. Circ J. 2003;67:940–944
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PII: S1547-5271(09)00878-9

doi: 10.1016/j.hrthm.2009.08.010

Heart Rhythm
Volume 6, Issue 11 , Pages 1586-1595 , November 2009

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