Document Detail


Treatment of atrial fibrillation by catheter ablation of conduction gaps in the crista terminalis and cavotricuspid isthmus of the right atrium.
MedLine Citation:
PMID:  12435194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 74-year-old man with atrial fibrillation (AF) underwent electrophysiologic study and catheter ablation with a noncontact mapping system. AF was induced by coronary sinus pacing, and noncontact mapping showed ever-changing movement of multiple wavefronts with one dominant reentrant circuit around the tricuspid annulus, splitting wavefront conduction through the gaps in the crista terminalis, and then fusion and stasis of wavefronts. After creation of bidirectional conduction block over crista terminalis gaps and the cavotricuspid isthmus, AF or atrial flutter was noninducible. No further AF recurrence was noted during 6-month follow-up.
Authors:
Tu-Ying Liu; Ching-Tai Tai; Shih-Ann Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  13     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-11-18     Completed Date:  2003-03-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1044-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, National Yang-Ming University, School of Medicine. and Taipei Veterans General Hospital, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrial Fibrillation / surgery*
Body Surface Potential Mapping
Catheter Ablation*
Electrophysiologic Techniques, Cardiac
Heart Atria / surgery
Heart Conduction System / surgery*
Humans
Male
Tricuspid Valve / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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