Heart Rhythm
Volume 7, Issue 1 , Pages 2-8 , January 2010

Peri-mitral atrial flutter in patients with atrial fibrillation ablation

  • Seiichiro Matsuo, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Seiichiro Matsuo, Service de Rythmologie, Hôpital Cardiologique du Haut-Lévêque, Avenue de Magellan, 33604 Bordeaux-Pessac, France
    • ,
  • Matthew Wright, MBBS, PhD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • Kings College London BHF Centre, Cardiovascular Division, NIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom
    • ,
  • Sébastien Knecht, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Isabelle Nault, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Nicolas Lellouche, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Kang-Teng Lim, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Leonardo Arantes, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Mark D. O'Neill, MB, BCh, DPhil

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Mélèze Hocini, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Pierre Jaïs, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France
    • ,
  • Michel Haïssaguerre, MD

      Affiliations

    • Hôpital Cardiologique du Haut-Lévêque and Université Victor Segalen Bordeaux II, Bordeaux, France

Received 5 August 2009 ,Accepted 23 September 2009.

References 

  1. Oral H, Pappone C, Chugh A, et al. Circumferential pulmonary-vein ablation for chronic atrial fibrillation. N Engl J Med. 2006;354:934–941
  2. Pappone C, Augello G, Sala S, et al. A randomized trial of circumferential pulmonary vein ablation versus antiarrhythmic drug therapy in paroxysmal atrial fibrillation: the APAF Study. J Am Coll Cardiol. 2006;48:2340–2347
  3. Stabile G, Bertaglia E, Senatore G, et al. Catheter ablation treatment in patients with drug-refractory atrial fibrillation: a prospective, multi-centre, randomized, controlled study (Catheter Ablation For The Cure Of Atrial Fibrillation Study). Eur Heart J. 2006;27:216–221
  4. Haïssaguerre M, Hocini M, Sanders P, et al. Catheter ablation of long-lasting persistent atrial fibrillation: clinical outcome and mechanisms of subsequent arrhythmias. J Cardiovasc Electrophysiol. 2005;16:1138–1147
  5. Chae S, Oral H, Good E, et al. Atrial tachycardia after circumferential pulmonary vein ablation of atrial fibrillation: mechanistic insights, results of catheter ablation, and risk factors for recurrence. J Am Coll Cardiol. 2007;50:1781–1787
  6. Ouyang F, Antz M, Ernst S, et al. Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double Lasso technique. Circulation. 2005;111:127–135
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  8. Shah D, Sunthorn H, Burri H, et al. slow-conducting isthmus dependent left atrial reentry developing after ablation for atrial fibrillation: ECG characterization and elimination by focal RF ablation. J Cardiovasc Electrophysiol. 2006;17:508–515
  9. Wittkampf FH, van Oosterhout MF, Loh P, et al. Where to draw the mitral isthmus line in catheter ablation of atrial fibrillation: histological analysis. Eur Heart J. 2005;26:689–695
  10. Sanders P, Jaïs P, Hocini M, et al. Electrophysiologic and clinical consequences of linear catheter ablation to transect the anterior left atrium in patients with atrial fibrillation. Heart Rhythm. 2004;1:176–184
  11. Yao Y, Zheng L, Zhang S, et al. Stepwise linear approach to catheter ablation of atrial fibrillation. Heart Rhythm. 2007;4:1497–1504
  12. Haïssaguerre M, Sanders P, Hocini M, et al. Catheter ablation of long-lasting persistent atrial fibrillation: critical structures for termination. J Cardiovasc Electrophysiol. 2005;16:1125–1137
  13. Jaïs P, Hocini M, O'Neill MD, et al. How to perform linear lesions. Heart Rhythm. 2007;4:803–809
  14. Jaïs P, Hocini M, Hsu LF, et al. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004;110:2996–3002
  15. Knecht S, Hocini M, Wright M, et al. Left atrial linear lesions are required for successful treatment of persistent atrial fibrillation. Eur Heart J. 2008;29:2359–2366
  16. Cox JL, Schuessler RB, D'Agostino HJ, et al. The surgical treatment of atrial fibrillation. J Thorac Cardiovasc Surg. 1991;101:569–583
  17. Becker AE. Left atrial isthmus: anatomic aspects relevant for linear catheter ablation procedures in humans. J Cardiovasc Electrophysiol. 2004;15:809–812
  18. Lo LW, Tai CT, et al. Characteristics of the cavotricuspid isthmus in predicting recurrent conduction in the long-term follow-up. J Cardiovasc Electrophysiol. 2009;20:39–43
  19. Chiang SJ, Tsao HM, Wu MH, et al. Anatomic characteristics of the left atrial isthmus in patients with atrial fibrillation: lessons from computed tomographic images. J Cardiovasc Electrophysiol. 2006;17:1274–1278
  20. D'Avila A, Thiagalingam A, Foley L, Fox M, Ruskin JN, Reddy VY. Temporary occlusion of the great cardiac vein and coronary sinus to facilitate radiofrequency catheter ablation of the mitral isthmus. J Cardiovasc Electrophysiol. 2008;19:645–650
  21. Poty H, Saoudi N, Nair M, Anselme F, Letac B. Radiofrequency catheter ablation of atrial flutter (Further insights into the various types of isthmus block: application to ablation during sinus rhythm). Circulation. 1996;94:3204–3213
  22. Schmieder S, Ndrepepa G, Dong J, et al. Acute and long-term results of radiofrequency ablation of common atrial flutter and the influence of the right atrial isthmus ablation on the occurrence of atrial fibrillation. Eur Heart J. 2003;24:956–962
  23. Kato R, Lickfett L, Meininger G, et al. Pulmonary vein anatomy in patients undergoing catheter ablation of atrial fibrillation: lessons learned by use of magnetic resonance imaging. Circulation. 2003;107:2004–2010
  24. Piorkowski C, Hindricks G, Schreiber D, et al. Electroanatomic reconstruction of the left atrium, pulmonary veins, and esophagus compared with the “true anatomy” on multislice computed tomography in patients undergoing catheter ablation of atrial fibrillation. Heart Rhythm. 2006;3:317–327
  25. Marrouche NF, Martin DO, Wazni O, et al. Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: impact on outcome and complications. Circulation. 2003;107:2710–2716
  26. Sanders P, Jaïs P, Hocini M, et al. Electrophysiologic and clinical consequences of linear catheter ablation to transect the anterior left atrium in patients with atrial fibrillation. Heart Rhythm. 2004;1:176–184
  27. Lim KT, Jaïs P, O'Neill MD, et al. Cycle length dependent block in the “mitral-pulmonary vein” isthmus. Pacing Clin Electrophysiol. 2007;30:1174–1176

 Dr. Wright receives financial support from the Department of Health via the National Institute for Health Research (NIHR) Comprehensive Biomedical Research Centre award to Guy's and St. Thomas' NHS Foundation Trust in partnership with King's College London and King's College Hospital NHS Foundation Trust.

PII: S1547-5271(09)01135-7

doi: 10.1016/j.hrthm.2009.09.067

Heart Rhythm
Volume 7, Issue 1 , Pages 2-8 , January 2010

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