Right atrial flutter isthmus radiofrequency ablation of atrial flutter. Medical search. Frequent questions

Introduction: The cavotricuspid isthmus can be ablated using an anatomic approach or an electrogram mapping approach in which sites at which there is a gap in the line of block are targeted. (northwestern.edu)
The aim of this study was to compare the anatomic and electrogram mapping approaches for creating a line of block in the cavotricuspid isthmus after an initial, unsuccessful anatomically directed ablation line. (northwestern.edu)
Methods and Results: The subjects of this study were 63 patients with isthmus-dependent atrial flutter in whom a single series of contiguous applications of radiofrequency energy guided by fluoroscopy in the cavotricuspid isthmus did not result in complete block. (northwestern.edu)
Conclusion: When there is incomplete block after an initial series of applications of radiofrequency energy in the cavotricuspid isthmus, complete block is achieved more efficiently with an electrogram mapping approach than with an anatomic approach. (northwestern.edu)
Entrainment mapping was performed from the cavotricuspid isthmus, and PPI minus TCL was determined. (univ-brest.fr)
Incident atrial fibrillation (AF) is common after cavotricuspid isthmus (CTI) dependent atrial flutter (AFL) ablation. (jafib.com)
Patients undergoing cavotricuspid isthmus (CTI) ablation of typical right atrial flutter (AFL) frequently develop new-onset atrial fibrillation (AF) within three years after ablation 1 - 3 . (jafib.com)
It is not clear, however, whether a successful right atrial flutter ablation (cavotricuspid isthmus [CTI] ablation) decreases the risk of future AF development in AFL patients with no previous history of AF. (afibbers.org)
Increased incidence of cavotricuspid isthmus atrial flutter following slow pathway ablation. (ucdenver.edu)

For patient education information, see the Heart Health Center , as well as Atrial Flutter , Arrhythmias (Heart Rhythm Disorders) , Stroke , Supraventricular Tachycardia (SVT, PSVT) , and Palpitations . (medscape.com)
AIMS: To explore the impact of the use of intracardiac echocardiography (ICE) in the ablation of supraventricular arrhythmias requiring transseptal catheterization (TSC), whilst analyzing the reduction in periprocedural complications and complications specifically related to TSC. (bvsalud.org)
As with most symptomatic arrhythmias, conversion should ideally be achieved before transfer, except in the case of a hemodynamically stable patient referred to an institution with clearly superior expertise and facilities for management of pediatric atrial flutter. (medscape.com)
Cardiac ablation is an effective treatment for many types of arrhythmias. (arrhythmia.org)
Catheter ablation is a first-line treatment for many cardiac arrhythmias and is generally performed under X-ray fluoroscopy guidance. (rmmj.org.il)
However, current techniques for ablating complex arrhythmias such as atrial fibrillation and ventricular tachycardia are associated with sub-optimal success rates and prolonged radiation exposure. (rmmj.org.il)
Pre-procedure 3-D magnetic resonance imaging (MRI) has improved understanding of the anatomic basis of complex arrhythmias and is being used for planning and guidance of ablation procedures. (rmmj.org.il)
In the future, intra-procedure real-time MRI, together with the ability to image complex 3-D arrhythmogenic anatomy and target additional ablation to regions of incomplete lesion formation, may allow for more successful treatment of even complex arrhythmias without exposure to ionizing radiation. (rmmj.org.il)
Radiofrequency (RF) catheter ablation has advanced over the last 25 years from an experimental procedure to the first-line treatment for a number of cardiac arrhythmias including atrioventricular re - entrant tachycardia, accessory pathway-associated tachycardias, and typical atrial flutter. (rmmj.org.il)
The clinical indications for anatomy-based catheter ablation have since expanded to more complex arrhythmias such as atrial fibrillation and scar-based ventricular tachycardia. (rmmj.org.il)
While the feasibility of X-ray fluoroscopy guidance has been demonstrated for these complex arrhythmias, precise targeting of ablation lesions is limited by fluoroscopy's inherently poor ability to visualize cardiovascular soft tissue anatomy. (rmmj.org.il)
Combined endo- and epicardial approach to radiofrequency catheter ablation in ventricular arrhythmias of different genesis: a retrospective analysis. (escardio.org)
Effect of radiofrequency ablation of atrial flutter on the natural history of subsequent atrial arrhythmias. (afibbers.org)

A supraventricular tachycardia with a ventricular heart rate of 150 beats per minute is suggestive (though not necessarily diagnostic) of atrial flutter. (wikipedia.org)
Administration of adenosine in the vein (intravenously) can help medical personnel differentiate between atrial flutter and other forms of supraventricular tachycardia. (wikipedia.org)
AFL is the second most common pathologic supraventricular tachycardia but occurs at a rate less than one-tenth of the most common supraventricular tachycardia (atrial fibrillation). (wikipedia.org)
Serial 24-h ambulatory electrocardiographic (Holter) and follow-up electrophysiologic studies were performed to assess recurrence of tachycardia and possible atrial arrhythmogenic effects. (tmu.edu.tw)
In patients with isthmus-dependent atrial flutter, entrainment mapping from the isthmus during tachycardia results in postpacing intervals (PPI) close to the tachycardia cycle length (TCL). (univ-brest.fr)
In all patients, RFA of the isthmus resulted in termination of tachycardia, confirming the isthmus-dependent nature of the flutter. (univ-brest.fr)
With catheter ablation becoming effective for non-pharmacological management of AF, many cases of atrial tachycardia (AT) after AF ablation have been reported in the past decade. (aerjournal.com)
9-12 However, atrial tachycardia (AT) occurring after AF ablation is often symptomatic, complex and poorly controlled by anti-arrhythmic agents. (aerjournal.com)
Catheter ablation of atypical flutter and atrial tachycardia within the coronary sinus after left atrial ablation for atrial fibrillation. (prelekara.sk)
Focal atrial tachycardia originating from the musculature of the coronary sinus. (prelekara.sk)
Flecainide is an IC antiarrhythmic drug approved in 1984 from Food and Drug Administration for the suppression of sustained ventricular tachycardia and later for acute cardioversion of atrial fibrillation (AF) and for sinus rhythm maintenance. (encyclopedia.pub)
Dr. Olgin's basic research lab is interested in atrial and ventricular remodeling and how these processes occur to develop a substrate for atrial fibrillation and ventricular tachycardia. (ucsf.edu)
Open surgical ablation of ventricular tachycardia: Utility and feasibility of contemporary mapping and ablation tools. (ucdenver.edu)

The mean CHADS2 score was 0.6 and the mean left atrial size was 40mm. (acc.org)
Left atrial volume index (LAVI) was significantly greater in patients who developed AF compared to those that did not (37 ± 12.2 ml/m 2 vs 30 ± 13.4 ml/m 2 , p=.004), with an area under the receiver operator characteristic curve based on the LAVI of 0.7 (p = 0.004). (jafib.com)
The investigators are, therefore, conducting a randomized study comparing conventional circumferential ablation to a combination of circumferential ablation plus specific right and left atrial GP ablation in patients with drug-refractory paroxysmal AF. (novoclinica.com)
Patients are subjected to specific, HF stimulation-guided and anatomic ablation of the main right and left atrial GP. (novoclinica.com)
Left atrial (LA) function can be impaired by the atrial fibrillation (AF) ablation and might be associated with the risk of recurrence. (biomedcentral.com)
Peak left atrial contraction strain (PACS) and left atrial emptying fraction (LAEF) were evaluated during sinus rhythm and compared across the three time points. (biomedcentral.com)
Left atrial function deteriorates immediately following AF ablation and partially recovers in 3 months but remains abnormal in the majority of patients. (biomedcentral.com)

Atrial fibrillation (AF) is a common arrhythmia, and its prevalence is increasing worldwide 6 . (researchsquare.com)
Successful targeting of ablation primarily to the anatomic arrhythmia substrate, as opposed to mapping and targeting ablation based on electrogram characteristics, began with recognition that common atrial flutter passes through a narrow structure known as the cavo-tricuspid isthmus. (rmmj.org.il)
Examples of electrospatial mapping guidance of complex arrhythmia ablation. (rmmj.org.il)
The main goal of treatment for atrial fibrillation (AF) is to treat symptoms and/or arrhythmia-induced heart failure. (biomedcentral.com)
Focal Arrhythmia confined within the coronary sinus and maintaining atrial fibrillation. (prelekara.sk)

A right atrial flutter ablation is usually successful and, according to this study, materially reduces the need for cardioversions and antiarrhythmic medications. (afibbers.org)

Recurrence rate (2 of 28 vs. 3 of 29) and incidence of new sustained atrial tachyarrhythmias (3 of 28 vs. 3 of 29) was similar in the two groups, Occurrence of recurrent atrial butter and new sustained atrial tachyarrhythmias was related to associated cardiovascular disease and atrial enlargement in both groups. (tmu.edu.tw)
Secondary endpoints included freedom from any AF and freedom from symptomatic AF at 24 months, cumulative and per visit burden of symptomatic AF, time to first recurrence of AF after the blanking period, and atrial flutter longer than 1 minute. (acc.org)
In the Catheter Ablation Versus Anti-arrhythmic Drug Therapy for Atrial Fibrillation (CABANA) trial, the catheter ablation group had superior quality of life compared with the anti-arrhythmic drug group and less AF recurrence after blanking through intention-to-treat analysis. (aerjournal.com)
7,8 Hence, catheter ablation has become widely used for treating symptomatic drug-refractory AF, even though the recurrence rates of AF ablation remain high, especially in persistent AF and longstanding persistent AF. (aerjournal.com)
The risk of recurrence was significantly decreased compared to pulmonary vein isolation (PVI) alone for PVI with renal denervation (RR: 0.60, CI: 0.38-0.94), PVI with ganglia-plexi ablation (RR: 0.62, CI: 0.41-0.94), PVI with additional ablation lines (RR: 0.8, CI: 0.68-0.95) and PVI in combination with bi-atrial modification (RR: 0.32, CI: 0.11-0.88). (biomedcentral.com)
In this study, however, 26% of patients subjected to GP ablation alone without circumferential lesions were free of AF-recurrence up to one year after the ablation procedure. (novoclinica.com)
We sought to determine whether the post-procedural changes in LA function impact the risk of recurrence following AF ablation. (biomedcentral.com)
The primary endpoint was atrial tachyarrhythmia recurrence after ablation. (biomedcentral.com)

20 ms increase in the interval between cavo-tricuspid isthmus (CTI) double potentials during incremental pacing (IP) is a highly specific marker differentiating functional from complete CTI block during typical flutter (AFL) ablation. (houstonmethodist.org)

In Group II, continuous migratory application of radiofrequency energy was used to create two linear lesions in or around the inferior vena cava-tricuspid ring isthmus. (tmu.edu.tw)
Encircling ablation lesions around the pulmonary vein os and a connecting roof line was completed with either an 8mm tip or irrigated RFA catheter. (acc.org)
23-25 Linear ablation combined with PVI may result in reentrant ATs because of conduction gaps and non-transmural lesions caused by ablation lesions. (aerjournal.com)
The other catheter is used to deliver the radiofrequency energy to create lesions outside the pulmonary veins. (arrhythmia.org)
A particular strength of MRI compared to other imaging modalities is the ability to visualize ablation lesions. (rmmj.org.il)
4 , 5 The basis of these strategies is to target specific anatomic regions and often to create extended ablation "lines" by aligning multiple point lesions or by dragging the catheter along the endocardial surface while applying ablative energy. (rmmj.org.il)
Contact-force (CF) technology was not, however, routinely used in previous prospective studies on percutaneous PWI, even if it provides deeper and more durable lesions when integrated in ablation catheters either in paroxysmal or in persistent AF ablations 12 - 14 . (jafib.com)

The patients were randomly assigned to additional ablation on an anatomic basis (n = 31) or guided by single potentials or narrowly split double potentials during coronary sinus pacing (n = 32). (northwestern.edu)
Therefore, although several multicentre randomised trials showed no difference between PVI alone and additional ablation within the left atrium (LA), various methods, including linear ablation and substrate modification, have been introduced to achieve favourable results. (aerjournal.com)

Radiofrequency ablation of the common atrial flutter circuit was safe and effective with either the electrophysiologically guided focal ablation or linear ablation technique. (tmu.edu.tw)

The scar blocks any impulses firing from within the pulmonary veins, thereby 'disconnecting' the pathway of the abnormal rhythm and curing atrial fibrillation. (arrhythmia.org)

De novo CMBs frequently appeared after catheter ablation therapy. (researchsquare.com)

See Atrial Flutter and Pediatric Atrial Flutter for complete information on these topics. (medscape.com)

AAD could be used during the first 3 months post ablation. (acc.org)
Risk factors for the development of AF post ablation are not well understood. (jafib.com)

Thrombosis and thromboembolic events are recognized complications in patients with atrial flutter, particularly in the setting of repaired congenital heart disease, such as the Fontan procedure. (medscape.com)
18 years old, had previous AF ablation or cardiac surgery procedure, valvular AF, congenital heart disease, previous atrioventricular node ablation, permanent pacing or no follow-up data. (biomedcentral.com)

Electrical Substrate Ablation for Refractory Ventricular Fibrillation: Results of the AVATAR Study. (stanford.edu)
VF electrical substrate ablation (VESA) was then performed. (stanford.edu)

[ 16 ] In another study, there was a high incidence of thrombus/thromboembolism with atrial flutter or fibrillation in patients who underwent the Fontan surgery, but it was low in this population in the setting of electrical cardioversion and anticoagulation therapy. (medscape.com)
In this review, we summarise the incidence, mechanism, mapping and ablation techniques, and outcomes of AT after AF ablation. (aerjournal.com)
The incidence of AT after AF ablation varies from less than 5% to 40% and is associated with the index ablation strategy and duration of AF. (aerjournal.com)
In multivariable analysis LAVI remained the sole independent predictor of incidence AF after CTI AFL ablation. (jafib.com)

1 Triggers from the pulmonary vein (PV) have been identified as crucial ectopic sources that initiate AF and pulmonary vein isolation (PVI) is the cornerstone for catheter ablation of AF. (aerjournal.com)
Pulmonary vein isolation: Research has shown that most atrial fibrillation signals come from the four pulmonary veins. (arrhythmia.org)
The efficacy of posterior wall isolation (PWI) on top of pulmonary vein isolation (PVI) in patients affected by persistent atrial fibrillation (AF) is still controversial and little is known about the impact of contact-force (CF) technology. (jafib.com)
Pulmonary vein isolation (PVI) is currently recommended for paroxysmal atrial fibrillation (AF) catheter ablation, but persistent AF remains a clinical challenge 1 - 3 . (jafib.com)
Among strategies to achieve atrial compartmentalization and de-bulking, posterior wall isolation (PWI) allows the reduction of LA critical mass and also the suppression of AF triggers and drivers 5 . (jafib.com)
Multiple randomized trials have demonstrated the benefit of prophylactic pulmonary vein isolation (PVI) for patients undergoing CTI dependent AFL ablation 9 - 13 . (jafib.com)
We also aimed at comparing these two approaches with a combination of GP ablation and PV isolation. (novoclinica.com)
Patients are subjected to conventional PV isolation through circumferential ablation 1-2 cm from the PV ostium. (novoclinica.com)

Cardiac ablation is a procedure used either to destroy these short-circuits and restore normal rhythm, or to block damaged electrical pathways from sending faulty signals to the rest of the heart. (arrhythmia.org)
Cardiac ablation is performed by a cardiac electrophysiologist - a physician who specializes in diagnosing and treating heart rhythm disorders. (arrhythmia.org)
30 seconds at follow up and in addition, in patients provided with insertable cardiac monitors (ICM), as burden of AF or atrial tachycardias (AT) at relevant time points. (jafib.com)
Retrospective chart review identified 114 consecutive patients without a history of AF or prior cardiac surgery who underwent typical CTI dependent AFL ablation between December 2013 to November 2018, who also had a complete preoperative transthoracic echocardiogram, and at least 1 year of follow-up at our medical center. (jafib.com)
Dr. Olgin's clinical research has focused on atrial fibrillation and sudden cardiac death mechanisms, epidemiology, genetics and interventions. (ucsf.edu)

Fuher AN, Borne R, Cunningham J. Diagnosing Atypical Flutter in the Post-atrial Fibrillation Ablation Patient: A Case Report. (ucdenver.edu)

Sixty patients with drug-refractory common atrial putter were randomly assigned to undergo radiofrequency catheter ablation performed with the electrophysiologically guided focal ablation (Group I) or linear ablation technique (Group II). (tmu.edu.tw)
Patients with symptomatic and drug-refractory AF who underwent first time AF ablation at Mayo Clinic (Rochester, MN) between April 2009 and May 2011 were included. (biomedcentral.com)

A total of 101 patients who underwent ablation therapy for AF were prospectively registered, and 72 patients completed the assessment with MRI 6 months after catheter ablation. (researchsquare.com)
A total of 73 consecutive patients (20.5% female) affected by persistent atrial fibrillation (10.9% long-standing) underwent PWI as an adjunctive therapy to PVI using CF sensing catheters. (jafib.com)
Ten patients underwent repeat ablations during the follow-up. (jafib.com)
All patients in groups 1 and 2 underwent a successful CTI ablation and were then, along with the members of the control group, followed for 5 years. (afibbers.org)
We retrospectively reviewed patients who underwent AF ablation between 2009 and 2011 and underwent transthoracic echocardiography before ablation, 1-day and 3-month after ablation. (biomedcentral.com)
9 months after the begininig of the chemotherapy she underwent surgical excision of some of the liver metastasis and radio-frequency ablation of additional metastasis. (doctorsmedicalopinion.com)

Previous studies investigating risk factors for incident AF after AFL ablation have not consistently identified LAVI as a predictor and have not commonly included detailed and complete echocardiographic and electrophysiology study data 4 - 6 . (jafib.com)
We aimed to investigate risk factors, including detailed echocardiography data, and invasive electrophysiology study data, for development of incident AF following AFL ablation. (jafib.com)

Conclusions The addition of the IP maneuver for the diagnosis of complete CTI block reduces AFL long-term recurrences after ablation. (houstonmethodist.org)
Conclusions - VESA is associated with a reduction in the combined endpoint compared with the non-ablation reference group. (stanford.edu)

Go to Atrial Flutter and Emergent Management of Atrial Flutter for complete information on these topics. (medscape.com)

Impact of epicardial adipose tissue and catheter ablation strategy on biophysical parameters and ablation lesion characteristics. (ucdenver.edu)

Short discrete ramps or bursts of atrial stimuli are the most likely to produce a type I conversion of atrial flutter (immediate conversion to sinus rhythm), particularly if they can be delivered in or near the flutter circuit. (medscape.com)
Numerous studies have documented the marginal efficacy of antiarrhythmic drugs (AAD) for maintaining sinus rhythm in patients with paroxysmal atrial fibrillation (AF). (acc.org)
2,3 Per the European and US AF guidelines, catheter ablation of AF is currently recommended as the first-line therapy if anti-arrhythmic agents fail to maintain sinus rhythm. (aerjournal.com)
Electrical disconnection of the coronary sinus by radiofrequency catheter ablation to isolate a trigger of atrial fibrillation. (prelekara.sk)
Impact of catheter ablation of the coronary sinus on paroxysmal or persistent atrial fibrillation. (prelekara.sk)
Currently, flecainide is mostly used for sinus rhythm maintenance in atrial fibrillation patients without structural cardiomyopathy although recent studies enrolling different patient population demonstrated a good effectiveness and safety profile. (encyclopedia.pub)
An average of 3.3±0.5 sites of localized reentry during VF were targeted for radiofrequency ablation (38.3±10.9 minutes) during sinus rhythm, rendering VF non-inducible with pacing. (stanford.edu)

For VT, ablation is sometimes coupled with an ICD (implantable cardioverter defibrillator). (arrhythmia.org)

The purpose of this study was to study electrophysiologic characteristics and compare the electrophysiologically guided focal ablation technique and linear ablation technique in patients with common atrial putter in a prospective randomized fashion, Background. (tmu.edu.tw)
However, the linear ablation technique was time saving. (tmu.edu.tw)

In persistent atrial fibrillation, PWI on top of PVI using CF sensing catheters is safe and effective, providing great reduction of burden of ARs. (jafib.com)
Catheter ablation of long-lasting persistent atrial fibrillation: critical structures for termination. (prelekara.sk)

We aimed to assess the impact of IP in reducing AFL recurrences after CTI ablation. (houstonmethodist.org)
The investigators hypothesized that a combination of circumferential ablation with high-frequency-stimulation-identified GP ablation is superior to conventional circumferential ablation for the prevention of recurrences of paroxysmal atrial fibrillation (AF). (novoclinica.com)

Catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF. (e-arrhythmia.org)
Surgical ablation of AF is available in most major hospitals throughout the world. (e-arrhythmia.org)
Catheter and surgical ablation of AF are highly complex procedures, therefore a decision to perform catheter or surgical AF ablation should only be made after a patient carefully considers the risks, benefits, and alternatives to the procedure. (e-arrhythmia.org)

Background - Refractory ventricular fibrillation (VF) is a challenging clinical entity, for which ablation of triggering premature ventricular complexes (PVCs) is described. (stanford.edu)

Ablation of the AV node: During this procedure, the doctor applies radiofrequency energy to injure the AV node. (arrhythmia.org)
Post-procedure MRI is now being applied to assess ablation lesion location and permanence with the goal of identifying factors leading to procedure success and failure. (rmmj.org.il)
Catheter ablation of AF is even more widely available, and is now the most commonly performed catheter ablation procedure. (e-arrhythmia.org)
In the present study, we sought to determine the pattern of LA performance change immediately and short-term after AF ablation and whether such alternation of LA function is related the procedure outcome at long-term follow-up. (biomedcentral.com)

Results No intergroup differences were noted in baseline characteristics, ablation settings and fluoroscopy/radiofrequency times. (houstonmethodist.org)

Atrial flutter is the second most common tachyarrhythmia, after atrial fibrillation . (medscape.com)

METHODS AND RESULTS: The study consisted of 83 patients with isthmus-dependent atrial flutter: 52 were taking amiodarone at the time of RFA (group 1) and 31 were in a drug-free state (group 2). (univ-brest.fr)
Methods and Results We used 5-year follow-up data from the Swiss-Atrial Fibrillation prospective cohort, which enrolled 2415 patients with prevalent AF from 2014 to 2017. (journalfilter.com)

Outcomes were compared against reference patients with VF who were unable or unwilling to undergo catheter ablation. (stanford.edu)

Patients who are treated with atrial antitachycardia pacing should undergo testing to confirm that their device is effective and not proarrhythmic. (medscape.com)

Continuous ablation improves lesion maturation compared with intermittent ablation strategies. (ucdenver.edu)
Bipolar radiofrequency ablation creates different lesion characteristics compared to simultaneous unipolar ablation. (ucdenver.edu)

Atrial Tachycardias After Atrial Fibrillation Ablation: How to Manage? (aerjournal.com)

The investigators have recently shown that anatomic ganglionated plexi (GP) ablation is inferior to circumferential pulmonary vein (PV) ablation for the treatment of paroxysmal AF. (novoclinica.com)

More atrial premature beats and episodes of short run atrial tachyarrhythmias in the early period (within 2 weeks) after ablation were found in Group II. (tmu.edu.tw)

METHODS: A retrospective multicenter study collecting data from consecutive atrial fibrillation (AF) and supraventricular ablation procedures that required TSC was performed in five Italian centers. (bvsalud.org)
In this retrospective study, we present our experience with PWI using CF sensing catheters and its efficacy and safety as an adjunctive ablation strategy on top of PVI for management of patients with persistent and longstanding persistent AF. (jafib.com)
Machine Learning Methodologies for Prediction of Rhythm-Control Strategy in Patients Diagnosed With Atrial Fibrillation: Observational, Retrospective, Case-Control Study. (ucdenver.edu)

Similar to the abnormal heart rhythm atrial fibrillation, atrial flutter also leads to poor contraction of the atrial chambers of the heart. (wikipedia.org)

The study involved 87 atrial flutter patients (group 1) with no structural heart disease (lone AFL), 50 atrial flutter patients (group 2) with structural heart disease, and a control group of 59 atrial flutter patients without structural heart disease who were treated with medication only (control group). (afibbers.org)

75 years old, stroke/transient ischemic attack, chronic obstructive pulmonary disease, and heart failure, has been proposed as a predictor of AF after AFL ablation, 7 - 8 but its utility in clinical decision making remains unclear. (jafib.com)
However, prophylactic PVI during AFL ablation is not widely performed, and not included in clinical guidelines 14 . (jafib.com)

Anatomy13

Organisms1

Diseases24

Chemicals and Drugs9

Analytical, Diagnostic and Therapeutic Techniques and Equipment32

Phenomena and Processes8

Disciplines and Occupations1

Information Science1

Health Care5

Cavotricuspid isthmus9

Arrhythmias13

Tachycardia13

Left atrial7

Arrhythmia5

Right Atrial Flutter Ablation1

Recurrence8

Cavo-tricuspid isthmus1

Lesions7

Additional ablation2

Common atrial flutter1

Curing atrial fibrillation1

Appeared after catheter ablation1

Pediatric Atrial Flutter1

Post ablation2

Congenital heart d2

Substrate2

Incidence4

Isolation8

Cardiac5

Atypical flutter1

Drug-refractory2

Underwent6

Electrophysiology2

Conclusions2

Emergent Management1

Epicardial1

Sinus7

Implantable1

Linear ablation2

Persistent atrial2

Recurrences2

Surgical ablation3

Ventricular fibrillation1

Procedure4

Fluoroscopy1

Tachyarrhythmia1

Methods and Results2

Outcomes1

Undergo1

Lesion2

Tachycardias1

Anatomic1

Premature1

Retrospective3

Contraction1

Patients without structural1

Clinical2