Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach

Ablation of cavotricuspid isthmus flutter and atrial tachycardia in a complex substrate has never been reported using remote navigation via superior approach. Venous access was obtained via right internal jugular for ablation and left subclavian for duodecapolar catheter placement into the coronary...

Full description

Bibliographic Details
Main Authors: Roderick Tung, MD, Kalyanam Shivkumar, MD PhD, Ravi Mandapati, MD
Format: Article
Language:English
Published: Elsevier 2012-09-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629216305460
_version_ 1811306425522061312
author Roderick Tung, MD
Kalyanam Shivkumar, MD PhD
Ravi Mandapati, MD
author_facet Roderick Tung, MD
Kalyanam Shivkumar, MD PhD
Ravi Mandapati, MD
author_sort Roderick Tung, MD
collection DOAJ
description Ablation of cavotricuspid isthmus flutter and atrial tachycardia in a complex substrate has never been reported using remote navigation via superior approach. Venous access was obtained via right internal jugular for ablation and left subclavian for duodecapolar catheter placement into the coronary sinus. In a posttransplant patient presenting with both regular and irregular tachycardia, both cavotricuspid isthmus flutter in the donor and atrial tachycardia in the recipient was mapped using a two catheter approach. Successful ablation of typical atrial flutter and anastomotic block was achieved. This is the first report of successful ablation of cavotricuspid isthmus flutter and posttransplant atrial tachycardia using magnetic navigation via superior approach. Using only two catheters, this approach is logical and feasible in complex substrates with interrupted inferior venous access.
first_indexed 2024-04-13T08:45:28Z
format Article
id doaj.art-610f722286c24bee8f296c174e2fd707
institution Directory Open Access Journal
issn 0972-6292
language English
last_indexed 2024-04-13T08:45:28Z
publishDate 2012-09-01
publisher Elsevier
record_format Article
series Indian Pacing and Electrophysiology Journal
spelling doaj.art-610f722286c24bee8f296c174e2fd7072022-12-22T02:53:42ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922012-09-0112522923210.1016/S0972-6292(16)30546-0Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior ApproachRoderick Tung, MDKalyanam Shivkumar, MD PhDRavi Mandapati, MDAblation of cavotricuspid isthmus flutter and atrial tachycardia in a complex substrate has never been reported using remote navigation via superior approach. Venous access was obtained via right internal jugular for ablation and left subclavian for duodecapolar catheter placement into the coronary sinus. In a posttransplant patient presenting with both regular and irregular tachycardia, both cavotricuspid isthmus flutter in the donor and atrial tachycardia in the recipient was mapped using a two catheter approach. Successful ablation of typical atrial flutter and anastomotic block was achieved. This is the first report of successful ablation of cavotricuspid isthmus flutter and posttransplant atrial tachycardia using magnetic navigation via superior approach. Using only two catheters, this approach is logical and feasible in complex substrates with interrupted inferior venous access.http://www.sciencedirect.com/science/article/pii/S0972629216305460pseudo-fibrillationablationmagnetic navigationpost transplant
spellingShingle Roderick Tung, MD
Kalyanam Shivkumar, MD PhD
Ravi Mandapati, MD
Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
Indian Pacing and Electrophysiology Journal
pseudo-fibrillation
ablation
magnetic navigation
post transplant
title Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
title_full Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
title_fullStr Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
title_full_unstemmed Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
title_short Ablation of Post Transplant Atrial Flutter and Pseudo-Fibrillation Using Magnetic Navigation via a Superior Approach
title_sort ablation of post transplant atrial flutter and pseudo fibrillation using magnetic navigation via a superior approach
topic pseudo-fibrillation
ablation
magnetic navigation
post transplant
url http://www.sciencedirect.com/science/article/pii/S0972629216305460
work_keys_str_mv AT rodericktungmd ablationofposttransplantatrialflutterandpseudofibrillationusingmagneticnavigationviaasuperiorapproach
AT kalyanamshivkumarmdphd ablationofposttransplantatrialflutterandpseudofibrillationusingmagneticnavigationviaasuperiorapproach
AT ravimandapatimd ablationofposttransplantatrialflutterandpseudofibrillationusingmagneticnavigationviaasuperiorapproach