Demonstration of macroreentry and feasibility of operative therapy in the common type of atrial flutter☆
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Typical Atrial Flutter Mapping and Ablation
2022, Cardiac Electrophysiology ClinicsCitation Excerpt :The characterization of the AFL macro re-entrant circuit was further elucidated by endocardial recordings and also by intraoperative epicardial mapping.5 In two patients with typical AFL, Klein and coworkers5 reconstructed the re-entrant circuit recording the first endocardial activation at the coronary sinus (CS) ostium. Then the activation wavefront proceeded from low to high along the septum to reach first the HRA and later the lateral wall.
How to View Entrainment When Mapping Complex Atrial Tachycardias
2020, JACC: Clinical ElectrophysiologyAnatomic Considerations Relevant to Atrial and Ventricular Arrhythmias
2019, Cardiac Electrophysiology ClinicsElevated Incidence of Atrial Fibrillation and Stroke in Patients With Atrial Flutter—A Population-Based Study
2018, Canadian Journal of CardiologyCitation Excerpt :In 1911, Jolly and Ritchie initially differentiated atrial flutter from fibrillation in a series of elegant experiments.4 Despite a clear understanding of the organized, re-entrant mechanism of typical atrial flutter contrasted with the disorganized atrial conduction of AF, described initially by Klein et al,5 the term “fib-flutter” is still used today and reflects an incomplete understanding of the relationship between these 2 conditions. Catheter ablation has been used to try to resolve this relationship with efforts in both directions—catheter ablation for typical flutter to prevent subsequent AF,6 and AF ablation to prevent subsequent atrial flutter.7
Outcomes after ablation for typical atrial flutter (from the Loire Valley Atrial Fibrillation Project)
2014, American Journal of CardiologyCitation Excerpt :Two 8Fr sheaths were introduced into the femoral vein. A 7Fr duodecapolar catheter was placed into the right atrium with the proximal bipole13,14 in the upper region of the right atrium, the bipole 11-12 on the lateral side of the right atrium, and the distal bipole1,2 in the proximal coronary sinus. An 8-mm nonirrigated ablation catheter was used for mapping and ablation.
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This study was supported in part by a grant from the Heart and Stroke Foundation of Ontario, Toronto.
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Dr. Klein is the recipient of a Research Associateship of the Heart and Stroke Foundation of Ontario.