A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Slides:

Advertisements

Similar presentations

Volume 4, Issue 1, Pages (January 2007)

Advertisements

Volume 2, Issue 1, Pages (January 2005)

Functional permanent 2:1 atrioventricular block treated with cardioneuroablation: Case report Tolga Aksu, MD, Sukriye Ebru Golcuk, MD, Tümer Erdem Guler,

Isolation of an arrhythmogenic roof vein with the guide of a circular mapping catheter in a case with paroxysmal atrial fibrillation Shin-ichi Tanigawa,

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Killing two gaps with a single activation map—Visualization of the precise macroreentrant circuit including the pulmonary vein and left atrium Hiro Yamasaki,

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic.

HeartRhythm Case Reports

A pseudo-sinus rhythm due to bigeminal ectopy with the focus in the right superior pulmonary vein Marina Arai, MD, Seiji Fukamizu, MD, PhD, Rintaro Hojo,

Catheter ablation of atrial tachycardia on the non-coronary aortic cusp during pregnancy without fluoroscopy Cecília Bitaraes de Souza Barros, MD, Muhieddine.

Peri–coronary sinus atrial flutter associated with prior slow pathway ablation Mitsunori Maruyama, MD, PhD, FHRS, Shunsuke Uetake, MD, PhD, Yasushi Miyauchi,

Induction of tachycardia confined within a pulmonary vein by electrical cardioversion of atrial fibrillation: Is it proof of reentry? Mauro Toniolo,

Maged F. Nageh, MD,FHRS, Kamal Kotak, MD HeartRhythm Case Reports

Common veins, common freezes

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Techniques for the provocation, localization, and ablation of non–pulmonary vein triggers for atrial fibrillation Pasquale Santangeli, MD, PhD, Francis.

Swallow-induced syncope: A case report of atrial tachycardia originating from the SVC Tiffany Y. Hu, BS, Suraj Kapa, MD, FHRS, Yong-Mei Cha, MD, FHRS,

Functional permanent 2:1 atrioventricular block treated with cardioneuroablation: Case report Tolga Aksu, MD, Sukriye Ebru Golcuk, MD, Tümer Erdem Guler,

Preferential properties with decremental conduction of the Marshall vein between the coronary sinus and left superior pulmonary vein Toshiya Kurotobi,

Vein of Marshall partially isolated with radiofrequency ablation from the endocardium Shin Kashimura, MD, Takahiko Nishiyama, MD, Takehiro Kimura, MD,

Isolated Wolff-Parkinson-White syndrome in identical twins

Dual-loop biatrial concomitant macroreentrant tachycardia in a patient without previous history of surgery or ablation Song-Yun Chu, MD, Li-Bin Shi,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation Richard.

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity Koji Higuchi, MD, PhD,

Novel technique to avoid diaphragmatic paralysis during focal ablation of a non– pulmonary vein trigger mapped to the crista terminalis Jason Misher,

Adenosine-sensitive atrial tachycardia originating from the anterior mitral annulus Dai Inagaki, MD, Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Harumizu.

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Pseudo-conduction block at the mitral isthmus in a patient with epicardial impulse propagation through the vein of Marshall Rintaro Hojo, MD, Seiji Fukamizu,

Protecting the right phrenic nerve during catheter ablation: Techniques and anatomical considerations Stephen Stark, MD, David K. Roberts, MD, Thomas.

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

An atypical journey during a “typical” EP case

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

An unusual approach to intractable AVNRT in a pediatric patient

Tina Baykaner, MD, MPH, Joshua M. Cooper, MD, FHRS

Phrenic nerve injury contemporaneous with acute decrease in compound motor action potential during laser balloon pulmonary vein isolation for atrial fibrillation

Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation Alexandra Schratter, MD, Valentina Schirripa,

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.

Atrial Tachycardia in a Patient With Fabry’s Disease

A novel mapping and ablation strategy of the mitral isthmus using intracardiac echocardiography in the left atrium Thomas J. Flautt, DO, Alison L. Spangler,

Electroanatomic mapping of atrial tachycardia—Manual vs automated annotation Sven Knecht, ScD, Florian Spies, MSc, David Altmann, MD, Tobias Reichlin,

A simple method to ablate left-sided accessory pathways in a patient with coronary sinus ostial atresia and persistent left superior vena cava: A case.

An unusual cause of lone atrial fibrillation in a young female subject due to a rapid- cycling focal atrial trigger Shankar Baskar, MD, Mehran Attari,

Biatrial flutter circuit involving an anomalous insertion of the Bachmann bundle into the superior vena cava Ely Gracia, MD, Roger Fan, MD, FHRS HeartRhythm.

Radiofrequency ablation of common atrial flutter via right subclavian/jugular vein access in a patient with bilateral lower limb venous obstruction: Importance.

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Circular mapping recordings in a persistent left superior vena cava during atrial tachycardia: Was isolation achieved? Sandrine Venier, MD, Jason G.

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy Iosif Kelesidis, MD, MSc,

Arrhythmogenic triggers associated with an autonomic response from a posteroseptal region after extensive ablation in a patient with long-standing atrial.

Clinical and electrophysiological features of respiratory cycle–dependent atrial tachycardia: An analysis of three cases Osamu Inaba, MD, Junichi Nitta,

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Atrial fibrillation resulting from superior vena cava drivers addressed with cryoballoon ablation: Late reconnection at the site of phrenic nerve pacing.

Multipolar electrode spline embolization

A balloon occlusion technique to overcome the convective warming effect of coronary sinus blood flow on cryoablation Soledad Ascoeta, MD, Marc Dubuc,

Getting to the right left atrium: Catheter ablation of atrial fibrillation and mitral annular flutter in cor triatriatum Ryan T. Borne, MD, Jaime Gonzalez,

Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature Sandeep A. Saha, MD,

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography Victor A. Abrich, MD, Jeffrey Munro,

Atrial flutter following ethanol infusion in the vein of Marshall

Electrophysiological evidence of localized reentry as a trigger and driver of atrial fibrillation at the junction of the superior vena cava and right.

Presentation transcript:

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru Takano, MD HeartRhythm Case Reports Volume 4, Issue 1, Pages 26-28 (January 2018) DOI: 10.1016/j.hrcr.2017.10.015 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Theoretical illustration of self-reference mapping. A: A non–pulmonary vein trigger is considered to conduct centrifugally. The earliest activation site of the PentaRay catheter, which is located far from the trigger, should be one of the outer electrodes (1-2, 5-6, 9-10, 13-14, 17-18). B: The PentaRay catheter is moved to the earlier activation site and placed including the previous earliest site, which is used as the reference for the next trigger mapping method. C: After several mapping iterations, one of the inner electrodes (3-4, 7-8, 11-12, 15-16, 19-20) of the PentaRay catheter can record the earliest activation site. It means that activation of all the outer electrodes is late. D: When the earliest activation tags are concentrated in a small area, the area is the origin of the trigger. HeartRhythm Case Reports 2018 4, 26-28DOI: (10.1016/j.hrcr.2017.10.015) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Steps of self-reference mapping. A: PEN was located at the low left atrial septum side. The earliest activation site of the non-PV trigger was PEN 17-18. The red tag was placed at PEN 17-18. B: PEN was moved to a higher position including the previous red tag. The earliest activation sites of the next non-PV trigger were PEN 13-14 and PEN 15-16. The yellow tag was placed at PEN 15-16, and the red tag was placed at PEN 13-14. C: PEN was moved to the anterior position. The earliest activation site of the next non-PV trigger was PEN 15-16. The yellow tag was placed at PEN 15-16. The earliest tags obtained by inner electrodes were concentrated in a small area. The area was supposed to be the origin of the non-PV trigger. D: PEN was moved more anterior, including the previous earliest yellow tag to confirm the accuracy of the map. The earliest activation site was PEN 9-10, which was the same as the previous earliest activation site. ABL = ablation catheter; CS = coronary sinus; d = distal; p = proximal; PEN = PentaRay; PV = pulmonary vein; RA = right atrium; SVC = superior vena cava. HeartRhythm Case Reports 2018 4, 26-28DOI: (10.1016/j.hrcr.2017.10.015) Copyright © 2017 Heart Rhythm Society Terms and Conditions