Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation

Abstract Background Electroanatomical mapping is an essential tool in the ablation of typical AFL. Objectives To identify the existence of voltage patterns in the CTI voltage maps and their relevance for typical AFL ablation. Methods A voltage map of the CTI was made prior to ablation, identifying t...

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Main Authors: Francisco Ribes, Ángel Ferrero‐de‐Loma‐Osorio, Juan Miguel Sánchez‐Gómez, Lourdes Bondanza, Ángel Martínez‐Brotons, Ricardo Ruiz‐Granell
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Journal of Arrhythmia
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Online Access:https://doi.org/10.1002/joa3.12982
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author Francisco Ribes
Ángel Ferrero‐de‐Loma‐Osorio
Juan Miguel Sánchez‐Gómez
Lourdes Bondanza
Ángel Martínez‐Brotons
Ricardo Ruiz‐Granell
author_facet Francisco Ribes
Ángel Ferrero‐de‐Loma‐Osorio
Juan Miguel Sánchez‐Gómez
Lourdes Bondanza
Ángel Martínez‐Brotons
Ricardo Ruiz‐Granell
author_sort Francisco Ribes
collection DOAJ
description Abstract Background Electroanatomical mapping is an essential tool in the ablation of typical AFL. Objectives To identify the existence of voltage patterns in the CTI voltage maps and their relevance for typical AFL ablation. Methods A voltage map of the CTI was made prior to ablation, identifying the areas of maximum voltage and their location along the CTI, allowing classification into patterns according to their distribution. A stepwise ablation approach targeting the areas of maximum voltage was conducted. The ablation characteristics were compared based on the pattern obtained. Results Two voltage patterns were identified, with differences in ablation time to bidirectional CTI block. No complications occurred. Conclusions Voltage mapping identifies patterns in the CTI with implications for typical AFL ablation.
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spelling doaj-art-e37e959874f44ffdaf6fea084c0a91ca2025-08-20T02:41:14ZengWileyJournal of Arrhythmia1880-42761883-21482024-02-0140119119410.1002/joa3.12982Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablationFrancisco Ribes0Ángel Ferrero‐de‐Loma‐Osorio1Juan Miguel Sánchez‐Gómez2Lourdes Bondanza3Ángel Martínez‐Brotons4Ricardo Ruiz‐Granell5Department of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainDepartment of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainDepartment of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainDepartment of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainDepartment of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainDepartment of Cardiology, Arrhythmia Unit Hospital Clínico Universitario Valencia Valencia SpainAbstract Background Electroanatomical mapping is an essential tool in the ablation of typical AFL. Objectives To identify the existence of voltage patterns in the CTI voltage maps and their relevance for typical AFL ablation. Methods A voltage map of the CTI was made prior to ablation, identifying the areas of maximum voltage and their location along the CTI, allowing classification into patterns according to their distribution. A stepwise ablation approach targeting the areas of maximum voltage was conducted. The ablation characteristics were compared based on the pattern obtained. Results Two voltage patterns were identified, with differences in ablation time to bidirectional CTI block. No complications occurred. Conclusions Voltage mapping identifies patterns in the CTI with implications for typical AFL ablation.https://doi.org/10.1002/joa3.12982cavotricuspid isthmustypical atrial fluttervoltage mappingvoltage patterns radiofrequency ablation
spellingShingle Francisco Ribes
Ángel Ferrero‐de‐Loma‐Osorio
Juan Miguel Sánchez‐Gómez
Lourdes Bondanza
Ángel Martínez‐Brotons
Ricardo Ruiz‐Granell
Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
Journal of Arrhythmia
cavotricuspid isthmus
typical atrial flutter
voltage mapping
voltage patterns radiofrequency ablation
title Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
title_full Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
title_fullStr Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
title_full_unstemmed Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
title_short Identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
title_sort identification of cavotricuspid isthmus voltage patterns in typical atrial flutter ablation
topic cavotricuspid isthmus
typical atrial flutter
voltage mapping
voltage patterns radiofrequency ablation
url https://doi.org/10.1002/joa3.12982
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