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Case Report: Epi-endocardial bridges in refractory cavotricuspid isthmus-dependent atrial flutter: technical analysis of epi-endocardial breakthrough

Frontiers in Cardiovascular Medicine

BackgroundTypical isthmus-dependent atrial flutter (AFL) is traditionally treated through radiofrequency (RF) ablation to create a bidirectional conduction block across the cavo-tricuspid isthmus (CTI) in the right atrium.

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PO-01-009 THE EFFECT OF CATHETER ABLATION OF TYPICAL ATRIAL FLUTTER ON ATRIAL REMODELLING AND VENTRICULAR FUNCTION

HeartRhythm

Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA). Radiofrequency catheter ablation has been widely used as a therapy of choice and it is curative.

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Catheter ablation of typical atrial flutter improves cardiac chamber size and function

Journal of Cardiovascular Electrophysiology

Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA) for which radiofrequency catheter ablation has been widely used as a therapy of choice.

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The positive F wave in lead V1 of typical atrial flutter is caused by activation of the right atrial appendage: Insight from mapping during entrainment from the right atrial appendage

Journal of Cardiovascular Electrophysiology

The positive F wave in lead V1 changed during entrainment from the right atrial appendage (RAA) during typical atrial flutter (AFL). Abstract Introduction Typical atrial flutter (AFL) is a macroreentrant tachycardia in which intracardiac conduction rotates counterclockwise around the tricuspid annulus.

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Long-term risk of right coronary artery injury after catheter ablation of cavotricuspid isthmus–dependent flutter

HeartRhythm

Radiofrequency ablation (RFA) of cavotricuspid isthmus (CTI)dependent atrial flutter requires ablation of the tricuspid annulus overlying the right coronary artery (RCA). Although it is considered safe, reports of acute and subacute RCA injury in human and animal studies raise the possibility of late RCA stenosis.

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ECG Blog #409 — Every-Other-Beat.

Ken Grauer, MD

Physiologically — the most commonly observed pattern of AFlutter, known as " Typical " AFlutter — produces 2:1 negative deflections seen in the inferior leads ( as seen in Figure-3 ) — as a result of CCW ( C ounter C lock W ise ) rotation of a fixed reentrant circuit around the tricuspid valve annulus and through the cavo-tricuspid isthmus.

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Atrial dilatation in Atrial fibrillation : A query with multiple twists!

Dr. S. Venkatesan MD

We know atrial flutters can be confined to one atrium. Pierre Jaïs Circulation 2000 ) When such flutters transform into fibrillation, how does the spillover of signals occur to the contralateral atrium? Is there proof for this, or just an academic gossip?