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Cited by 153Cardiac Arrhythmias and TreatmentsAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record; 26 of the 27 references it cites were found in a registry or an index.

Peri-mitral atrial flutter in patients with atrial fibrillation ablation

Matsuo, Seiichiro, Wright, Matthew, Knecht, Sébastien, Nault, Isabelle, Lellouche, Nicolas, Lim, Kang-Teng, Arantes, Leonardo, O'Neill, Mark D., Hocini, Mélèze, Jaïs, Pierre, Haïssaguerre, Michel·2010·Heart Rhythm
DOI 10.1016/j.hrthm.2009.09.067
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Abstract

Background Peri-mitral atrial flutter (PMFL) is commonly encountered in patients undergoing atrial fibrillation (AF) ablation.Objective The purpose of this study was to determine the electrophysiologic characteristics, procedural success, and medium-term outcomes in patients with PMFL.Methods The study consisted of 50 consecutive patients (45 men and 5 women, age 57 +/- 12 years) with PMFL following or during AF ablation. Of the 50 PMFLs, 24 occurred during AF ablation (16 at index ablation and 8 at repeat procedure for recurrent AF), and 26 developed during follow-up. Ablation of PMFL was performed by creating a linear lesion joining the mitral annulus to the left inferior pulmonary vein.Results The incidence of PMFL was higher in patients with mitral isthmus (MI) ablation performed during AF ablation, prior to the development of PMFL, than in those in whom MI ablation was not performed (23% vs 8%, P = .04). Following the procedure, PMFL was more frequent in patients with prior MI ablation than in those without (41% vs 15%, P <.01). Seventy percent (35/50) were terminated by ablation with 6.4 +/- 6.9 minutes of radiofrequency application. Among patients in whom PMFL terminated, supplemental ablation was required for bidirectional conduction block in 66% (23/35). MI block was achieved in 92% (46/50) using 13.6 +/- 7.4 minutes of ablation. At mean follow-up of 19 +/- 4 months, 96% of patients were free from PMFL.Conclusion PMFL can be terminated by MI ablation, but the procedure is proarrhythmic. Supplemental ablation is necessary to establish bidirectional block of the line despite termination of PMFL in the majority of patients.

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Crossref · 10.1016/j.hrthm.2009.09.067

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Research works printed but not linked: 1

  1. Sanders, 2004, Electrophysiologic and clinical consequences of linear catheter ablation to transect the anterior left atrium in patients with atrial fibrillation, Heart Rhythm, 1, 176, 10.1016/j.hrthm.2004.03.072 · DOI

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Metadata

Authors
Matsuo, S., Wright, M., Knecht, S., Nault, I., Lellouche, N., Lim, K.-T., Arantes, L., O'Neill, M. D., Hocini, M., Jaïs, P., & Haïssaguerre, M.
Affiliations
  • Hôpital Cardiologique du Haut-Lévêque (FR)
  • King's College London (GB)
ORCID
Venue
Heart Rhythm
Publisher
Elsevier BV
Published
2010-01
Volume
7
Issue
1
Pages
2-8
ISSN
1547-5271 (ISSN-L)
DOI
10.1016/j.hrthm.2009.09.067
OpenAlex
W2029818197
Cited by
153
References
27
Citations by year
2026: 1 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 6 · 2021: 10 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 19 · 2016: 8 · 2015: 9 · 2014: 9 · 2013: 10 · 2012: 20
FWCI
10.69
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Heart Rhythm (publishedVersion)
  • PubMed (publishedVersion)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
  • King's College London
  • Department of Health and Social Care
  • King's College Hospital NHS Foundation Trust
  • National Institute for Health Research
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords
atrial fibrillation ablation, mitral isthmus ablation, drug-induced arrhythmia, bidirectional block, radiofrequency catheter ablation, atrial fibrillation recurrence, mitral annulus, left inferior pulmonary vein
MeSH terms
Atrial Fibrillation, Atrial Flutter, Female, France, Humans, Male, Middle Aged, Mitral Valve, Prospective Studies, Pulmonary Veins, Reoperation, Risk Factors, Incidence, Catheter Ablation, Electrophysiologic Techniques, Cardiac

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