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

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Presentation transcript:

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic mapping Martin Borlich, MD, Rolf Weinert, MD, Björn Becker, MD, Krister Kuhnhardt, MD, Gert Richardt, MD, Leon Iden, MD HeartRhythm Case Reports Volume 4, Issue 10, Pages 466-468 (October 2018) DOI: 10.1016/j.hrcr.2018.07.006 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Three-dimensional reconstruction and bipolar voltage map of the azygos vein and right atrium with coronary sinus. Visitags visualize the inferior line connecting the tricuspid valve annulus and the nonconducting region of the interrupted inferior vena cava. A: Right anterior oblique projection 30°. B: Left anterior oblique projection 45°. HeartRhythm Case Reports 2018 4, 466-468DOI: (10.1016/j.hrcr.2018.07.006) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 A: Local activation time (LAT) map created during stimulation from the coronary sinus in left anterior oblique projection (45°) for demonstration of cavotricuspid isthmus block. B: Inferior view on the right atrium with LAT map and visualization of conduction block. HeartRhythm Case Reports 2018 4, 466-468DOI: (10.1016/j.hrcr.2018.07.006) Copyright © 2018 Heart Rhythm Society Terms and Conditions